DR. WANDA D GIBSON (NPI# 1659453918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659453918 |
| Entity Type | Individual |
| Full Name | DR. WANDA D GIBSON |
| Credential | DDS |
| Practice Address |
1000 Clyburn Pl Aiken SC 29801-4193 |
| Practice Telephone | 8033807000 |
| Mailing Telephone | 8033807000 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | SC7106 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DENTAL REGISTRATION | LNO7106 | 01 |
| SC | ZX7106 | 05 | |
| SC | DEA | BG9930620 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8063 Edmund Hwy, Eau Claire Cooperative Health Centers, Pelion, SC 291239805 | 8038943736 | 8038945315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689898017 | Wanda Mae Gibson | Social Worker | Haywood County Health Department, 2177 Asheville Rd., Waynesville, NC 28786-3139 | 2007-04-13 |
| 1558719443 | Wanda Gibson | Social Worker | 425 Broadway St, Paducah, KY 42001-0713 | 2016-06-01 |
| Street Address |
1000 CLYBURN PL |
| City | AIKEN |
| State | SC |
| Zip Code | 29801-4193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720080104 | Victoria M. Stoeppler | Pediatrics | 1000 Clyburn Pl, Aiken, SC 29801-4193 | 2005-08-15 |
| 1932713443 | Laura Farmer | Nurse Practitioner | 1000 Clyburn Pl, Aiken, SC 29801-4193 | 2020-09-02 |
| 1972112613 | Rachel Creech Nichols | Dietitian, Registered | 1000 Clyburn Pl, Aiken, SC 29801-4193 | 2020-07-29 |
| 1386280881 | Elizabeth Schappell | Family Medicine | 1000 Clyburn Pl, Aiken, SC 29801-4193 | 2019-11-20 |
| 1932683711 | Ebony Bates Kerlin | Physician Assistant | 1000 Clyburn Pl, Aiken, SC 29801-4193 | 2018-09-18 |
| 1902385305 | Lauren Quiros | Dietitian, Registered | 1000 Clyburn Pl, Aiken, SC 29801-4193 | 2018-08-07 |
| 1962919209 | Tiffany Nicole Spencer-moye | Nurse Practitioner | 1000 Clyburn Pl, Aiken, SC 29801-4193 | 2018-01-09 |
| 1780197251 | Alexis Washington | Nurse Practitioner | 1000 Clyburn Pl, Aiken, SC 29801-4193 | 2017-11-07 |
| 1760906994 | Krystal Robinson | Nurse Practitioner | 1000 Clyburn Pl, Aiken, SC 29801-4193 | 2017-07-30 |
| 1053852525 | Rural Health Services, Inc. | Clinic/Center | 1000 Clyburn Pl, Aiken, SC 29801-4193 | 2017-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003457557 | Edwin Knight | Technician | 458 Wheat Rd, Aiken, SC 29801 | 2019-10-07 |
| 1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
| 1457820433 | Catherine Reddish | Home Health | 245 Hancock Rd Reddish Health Care Agency, Aiken, SC 29801 | 2018-11-19 |
| 1538653498 | Brenda Jean Jackson | Technician | 807 Dillon Ave, New Aiken, SC 29801 | 2018-06-14 |
| 1932649654 | Vageo Inc | Clinic/Center | 227 Chesterfiled St S, Aiken, SC 29801 | 2017-02-28 |
| 1629472550 | Andrea Ellis | Nurse Practitioner | 3525 Augustus Road, Agape Physicians Care, Aiken, SC 29801 | 2014-10-21 |
| 1699177782 | Joyce Walker Pompey | Registered Nurse | 471 University Parkway, Box 11, Aiken, SC 29801 | 2014-09-19 |
| 1578973251 | Rehab Without Walls, Inc. | Clinic/Center | 104 Florence St. Sw, Suite A, Aiken, SC 29801 | 2014-05-02 |
| 1609297571 | Katherine Delucas Duke | Counselor | 1135 Gregg Highway, Aiken, SC 29801 | 2013-12-19 |
| 1811328149 | Lynda Renee Green | Speech-Language Pathologist | 100 Bears Rock Rd., Aiken, SC 29801 | 2013-12-12 |
| Find all providers in zip 29801 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811473580 | Lacey J Hansen | Dentist | 10 Tea Olive Ct, Aiken, SC 29803-4715 | 2018-07-16 |
| 1417217068 | Elizabeth Brooke Usry | Dentist | 1391 Silver Bluff Rd, Aiken, SC 29803-8860 | 2012-05-16 |
| 1164737953 | Michael Douglas Huffer | Dentist | 144a Laurens St Nw, Aiken, SC 29801-3846 | 2010-08-17 |
| 1083761282 | Kevin Glenn Eubanks | Dentist | 148 Waterloo St Sw Ste 2, Aiken, SC 29801-3766 | 2007-01-03 |
| 1811064579 | Sadia I Akhtar | Dentist | 120 Augusta Road, Aiken, SC 29801 | 2006-11-29 |
| 1184703480 | R Carson Kight | Dentist | 10 Tea Olive Court, Aiken, SC 29803 | 2006-11-06 |
| 1184733982 | Ronald Dexter Lee | Dentist | 1316 Pine Log Road, Aiken, SC 29806 | 2006-08-29 |
| 1033148960 | Bruce Allen Holdorf | Dentist | 341 Newberry St Nw, Aiken, SC 29801 | 2006-07-02 |
| 1154941169 | Charlotte C. Wiedenman, Dmd | Dentist | 129 Fauburg St Sw, Aiken, SC 29801-3805 | 2020-04-20 |
| 1508388620 | Emily A Wiles | Dentist | 1055 Pine Log Rd, Aiken, SC 29803-7396 | 2017-07-11 |
| Find all providers in AIKEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.