DR. CHARLES RANDALL STAFFORD (NPI# 1770537722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770537722 |
| Entity Type | Individual |
| Full Name | DR. CHARLES RANDALL STAFFORD |
| Credential | DMD |
| Practice Address |
201 Cherry Dr Cheraw SC 29520 |
| Practice Telephone | 8435372415 |
| Practice Fax Number | 8435377889 |
| Mailing Telephone | 8435372415 |
| Mailing Fax Number | 8435377889 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2014-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2893 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | Z28934 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016832 | Charles Douglas Stafford | Social Worker | 1300 N Bristol St Ste 100, Newport Beach, CA 92660-2989 | 2020-09-08 |
| 1649507369 | Charles N Stafford | Counselor | 4006 Angelina Ln, Stockton, CA 95212-3133 | 2009-11-17 |
| 1104074699 | Charles Tanner Stafford | Obstetrics & Gynecology | 119 N. Donalson St., Suite B, Bainbridge, GA 39817 | 2008-09-09 |
| 1518932763 | Charles W Stafford | Emergency Medicine | 412 Channel Ct, Emerald Isle, NC 28593 | 2006-02-21 |
| 1588140917 | Charles James Stafford | Technician | 8290 W Sahara Ave Ste 260, Las Vegas, NV 89117-8933 | 2018-07-18 |
| 1265970735 | Charles Stafford | Pharmacist | 1997 E Beltline Ave Ne, Grand Rapids, MI 49525-4545 | 2017-02-05 |
| 1740427814 | Charles Robert Stafford | Chiropractor | 2430 Fm 407, Suite B, Highland Village, TX 75077-3091 | 2009-01-12 |
| 1407079262 | Charles Stafford | Counselor | 8210 S Bright Rd, French Camp, CA 95231-9759 | 2007-04-10 |
| 1548282601 | Charles Craig Stafford | Internal Medicine | 1401 Harrodsburg Rd, Bldg A Ste 450, Lexington, KY 40504-3751 | 2006-07-24 |
| Street Address |
201 CHERRY DR |
| City | CHERAW |
| State | SC |
| Zip Code | 29520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541824 | Gloria Curtis | Nurse's Aide | 2912 Wire 1 Rd, Cheraw, SC 29520 | 2019-07-29 |
| 1427419175 | New Perspective Life Center LLC | Case Management | 319 Chesterfiled Hwy #9, Cheraw, SC 29520 | 2016-03-09 |
| 1306203310 | Highly Favored LLC | Counselor | 65 Sanders Ln, Cheraw, SC 29520 | 2016-01-21 |
| 1962880690 | Butterfly Services LLC | Community Based Residential Treatment Facility, Mental Illness | 1562 Fred Davis Road, Cheraw, SC 29520 | 2015-05-14 |
| 1912304387 | Wrights Care Services LLC | Community/Behavioral Health | 319 East Chesterfield Hwy, Cheraw, SC 29520 | 2014-12-01 |
| 1386994762 | Stefanie Deese | Pharmacist | 901 Market St., Cheraw, SC 29520 | 2012-09-13 |
| 1699952218 | Chesterfield Marlboro, Lp | General Acute Care Hospital | Highway 9 West, Cheraw, SC 29520 | 2008-01-25 |
| 1174678411 | Carolina Eye Associates, Inc. | Ophthalmology | 705 Chesterfield Hwy, Cheraw, SC 29520 | 2007-01-25 |
| 1619030855 | Horton Chiropractic Clinic of Cheraw, Pa | Chiropractor | 601 Diane Dr, Cheraw, SC 29520 | 2006-12-19 |
| 1700947835 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 104 Grace Lane, Cheraw, SC 29520 | 2006-12-13 |
| Find all providers in zip 29520 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447299045 | William Michael Blackman | Dentist | 1220 Chesterfield Hwy, Cheraw, SC 29520-7014 | 2006-06-06 |
| 1437413119 | Benjamin Craig Jordan | Dentist | 1220 Chesterfield Hwy, Cheraw, SC 29520-7014 | 2012-06-27 |
| 1578825808 | Anthony Paul Blackman | Dentist | 1220 Chesterfield Hwy, Cheraw, SC 29520-7014 | 2012-06-12 |
| 1912193152 | Blackman Family Dentistry | Dentist | 1220 Chesterfield Hwy, Cheraw, SC 29520-7014 | 2007-09-21 |
| 1588863013 | Carrie Blackman Jordan | Dentist | 1220 Chesterfield Hwy, Cheraw, SC 29520-7014 | 2007-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564046 | Leishman Dental | Dentist | 121 N Pine St, Batesburg Leesville, SC 29006-1974 | 2020-10-07 |
| 1265039754 | Ravi Bhupen Patel | Dentist | 1755 Central Park Rd, Unit 1107, Charleston, SC 29412-2846 | 2020-10-07 |
| 1447857289 | Rick & Pamela Dhillon Dmd - Sda LLC | Dentist | 3115a Brushy Creek Rd, Greer, SC 29650-0903 | 2020-10-05 |
| 1598372864 | Dental Professional of South Carolina, P.C. | Dentist | 1417 Folly Rd Ste 402, Charleston, SC 29412-9737 | 2020-09-30 |
| 1043827314 | Dental Professionals of South Carolina, P.C. | Dentist | 1767 Heckle Blvd Ste 102, Rock Hill, SC 29732-1878 | 2020-09-30 |
| 1497361307 | Cane Bay Family Dentistry - Goose Creek LLC | Dentist | 129 Plantation North Blvd, Unit D, Goosecreek, SC 29445-2944 | 2020-09-17 |
| 1851906028 | Carolina Park Family Dentistry LLC | Dentist | 3520 Park Avenue Blvd., Suite 100, Mount Pleasant, SC 29466-2946 | 2020-09-14 |
| 1952915027 | Vdp Okatie LLC | Dentist | 10 William Pope Drive, Suite #2, Okatie, SC 29909 | 2020-09-04 |
| 1881208296 | Amanda Ho Van Garrett | Dentist | 122 S Goose Creek Blvd Ste A, Goose Creek, SC 29445-3136 | 2020-09-02 |
| 1871107409 | Ashley Czechner | Dentist | 11990 Highway 17 Byp Ste 8, Murrells Inlet, SC 29576-9379 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
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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.