COREY CARROLL (NPI# 1699221275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699221275 |
| Entity Type | Individual |
| Full Name | COREY CARROLL |
| Credential | D.M.D |
| Practice Address |
4323 Hill Street Fort Jackson SC 29207 |
| Practice Telephone | 8037516209 |
| Mailing Telephone | 8037516209 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 9829508-9922 | UT | Dental Providers |
| Y | 122300000X | Dentist | 9829508-8903 | UT | Dental Providers |
| Street Address |
4323 HILL STREET |
| City | FORT JACKSON |
| State | SC |
| Zip Code | 29207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750730347 | Stephanie Hadden | Dental Hygienist | 4323 Hill Street, Usa Dentac, Fort Jackson, SC 29207 | 2016-06-06 |
| 1821424185 | James L Koehler Jr. | Dentist | 4323 Hill Street, Us Army Dental Activity, Fort Jackson, SC 29207-6022 | 2013-09-18 |
| 1538509500 | Mitchell Eli Becker | Dentist | 4323 Hill Street, Usa Dental Activity, Fort Jackson, SC 29207-6022 | 2013-07-05 |
| 1093152670 | Drew D Farmer | Dentist | 4323 Hill Street, Usa Dental Activity, Fort Jackson, SC 29207-6022 | 2013-05-23 |
| 1932543121 | Erick Jordan Lund | Dentist | 4323 Hill Street, Usa Dental Activity, Fort Jackson, SC 29207-6022 | 2013-04-18 |
| 1770842239 | Migdalia Torres | Dentist | 4323 Hill Street, Us Army Dental Activity, Fort Jackson, SC 29207-6022 | 2012-05-03 |
| 1124387683 | Russell Demetrius Taylor IIi | Dentist | 4323 Hill Street, Us Army Dental Activity, Fort Jackson, SC 29207-6022 | 2012-05-03 |
| 1255690707 | Mohamad El Samad | Dentist | 4323 Hill Street, Us Army Dental Activity, Fort Jackson, SC 29207-6022 | 2012-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1730733007 | Forrest Wane Fullenkamp | Student in an Organized Health Care Education/Training Program | 5330 Moseby St, Columbia, SC 29207 | 2019-07-25 |
| 1306401625 | Kayla Anne Wolcott | Pharmacist | Moncrief Army Hospital Outpatient Pharmacy 1 Ft Jackson, Columbia, SC 29207 | 2019-05-02 |
| 1588145098 | Renetta Denise Green | Counselor | Fort Jackson/acs 9810 Lee St, Columbia, SC 29207 | 2018-08-23 |
| 1154814028 | Amanda Zelnick | Dentist | Bldg 5330 Moseby St, Ft Jackson, NC 29207 | 2018-06-14 |
| 1790231777 | Brittaney Elizabeth Anne Lewelling | Specialist/Technologist | 5975 Chesnut Road, Columbia, SC 29207 | 2016-08-30 |
| 1376749838 | Moncrief Army Community Hospital | Clinic/Center | 5330 Mosby Street, Fort Jackson, SC 29207 | 2007-06-22 |
| 1902002462 | Moncrief Army Community Hospital | Clinic/Center | 1890 Washington Road, Fort Jackson, SC 29207 | 2007-06-22 |
| 1730279860 | Donna L Briquet | Pharmacist | 4500 Marion Street, Columbia, SC 29207 | 2006-10-12 |
| Find all providers in zip 29207 | ||||
| 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 |
|---|---|---|---|---|
| 1104372788 | Thomas Ryan Shealy | Dentist | 4323 Hill St, Fort Jackson, SC 29207 | 2016-09-01 |
| 1306079777 | Leah Marie Wiger | Dentist | 3295 Forney Street, Attn; Ms Freeman, Fort Jackson, SC 29207-0001 | 2009-09-01 |
| 1639304009 | Kwame Opoku Kwateng | Dentist | 4323 Hill St, Fort Jackson, SC 29207-6022 | 2009-05-28 |
| 1447290960 | Gary Tillery Applewhite | Dentist | 3295 Forney St, Fort Jackson, SC 29207-5604 | 2006-06-07 |
| 1285618322 | Patrick Thomas Kelly | Dentist | 3295 Forney St, Fort Jackson, SC 29207-5604 | 2005-12-02 |
| 1508840661 | Anthony Daniel Stakis | Dentist | 3295 Forney St, Fort Jackson, SC 29207-5604 | 2005-12-02 |
| 1184608226 | Kyong Hi Kim | Dentist | 3295 Forney St, Fort Jackson, SC 29207-5604 | 2005-12-02 |
| 1407830417 | Stefan Sherman | Dentist | 3295 Forney St, Fort Jackson, SC 29207-5604 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558057 | Roberto Selonk Buechele | Dentist | 460 Killian Rd Ste 1, Columbia, SC 29203-9742 | 2020-11-02 |
| 1396342762 | Leonard James Cochrane IIi | Dentist | 150 Bee St Apt 706, Charleston, SC 29401-5706 | 2020-10-07 |
| 1134735129 | Kidz Planet Pediatric Dentistry - Sda Pa | Dentist | 960 Ribaut Rd Ste 3, Beaufort, SC 29902-5434 | 2020-09-16 |
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1922624618 | Todays Dental At Lexington LLC | Dentist | 458 Old Cherokee Rd Ste 100, Lexington, SC 29072-6971 | 2020-06-18 |
| 1912522426 | Andrea Ballengee | Dentist | 4405 Highway 17, Murrells Inlet, SC 29576-5097 | 2020-06-10 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1750919718 | Destination Dental LLC | Dentist | 155 Deacon Tiller Ct Ste 101, Duncan, SC 29334-8880 | 2020-03-27 |
| 1194360024 | Affordable Dentures & Implants - Orangeburg, P.C. | Dentist | 1532 Saint Matthews Rd, Orangeburg, SC 29118-2437 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
| City | FORT JACKSON |
| Zip Code | 29207 |
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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.