DR. STEPHEN EDWARD CLARY (NPI# 1700848827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700848827 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN EDWARD CLARY |
| Credential | DDS |
| Practice Address |
9310 Two Notch Rd Northeast Oral Surgery Columbia SC 29223-6416 |
| Practice Telephone | 8036995900 |
| Practice Fax Number | 8037889036 |
| Mailing Telephone | 8036995900 |
| Mailing Fax Number | 8037889036 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2013-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
7629 | TN | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
4453 772 OS | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003903600 | Stephen Joseph Clary | Internal Medicine | 6087 Ridge Rd, Suite 2, Parma, OH 44129-4472 | 2006-10-06 |
| Street Address |
9310 TWO NOTCH RD NORTHEAST ORAL SURGERY |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223-6416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598103277 | Matthew Charles Nimmich | Dentist | 9310 Two Notch Rd, Columbia, SC 29223-6416 | 2013-06-04 |
| 1336382043 | Adam D Hairr | Dentist | 9310 Two Notch Rd, Columbia, SC 29223-6416 | 2009-04-10 |
| 1700916822 | Northeast Oral & Maxillofacial Surgery Center | Dentist | 9310 Two Notch Rd, Columbia, SC 29223-6416 | 2007-03-07 |
| 1114985025 | Jeffrey Dootson | Dentist | 9310 Two Notch Rd, Columbia, SC 29223 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740810845 | Akeso Columbia Office LLC | Dentist | 6798 Oak Hall Ln Ste A-1, Columbia, MD 21045-4892 | 2020-01-17 |
| 1679809958 | Mathew K Woodward | Dentist | 5397 Twin Knolls Rd Ste 18, Columbia, MD 21045-3256 | 2009-10-21 |
| 1679730709 | Antoine Gerard Johnson | Dentist | 8860 Columbia 100 Pkwy Ste 308, Columbia, MD 21045-2298 | 2008-05-16 |
| 1497829311 | Darren Richard Cross | Dentist | 611 Oneil Ct, Columbia, SC 29223-7656 | 2006-11-20 |
| 1427121078 | Joseph John Krupa IIi | Dentist | 3304 Forest Dr, Columbia, SC 29204-4024 | 2006-11-15 |
| 1194748285 | Paul Edward Cullum | Dentist | 105 Berrywood Dr, Columbia, TN 38401-6409 | 2006-07-26 |
| 1508885682 | Michael Illar Muul | Dentist | 6798 Oak Hall Ln, Suite A1, Columbia, MD 21045-4892 | 2006-07-19 |
| 1952353732 | James Winston Strider Jr. | Dentist | 9310 Two Notch Road, Columbia, SC 29223 | 2006-05-17 |
| 1952376964 | Timothy Thomas Coyle | Dentist | 3015 S Providence Rd, Suite 5, Columbia, MO 65203 | 2006-02-22 |
| 1497720841 | George Alan Hurwitz | Dentist | 10782 Hickory Ridge Rd, Columbia, MD 21044-3646 | 2006-02-21 |
| Find all providers in COLUMBIA | ||||
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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.