Search › South Carolina › General Practice Dentistry
Jason Stack, D.M.D
NPI 1063430510 · on the registry since 2006 · sole proprietor
Practice
- Address
- 40 Creekview Ct
Greenville, SC 29615 - Phone
- (864) 676-0825
- Fax
- (864) 676-9859
- Organisation at this address
- Jason A. Stack, Dmd, Pa
Robert R Wallace Dmd Pa
Paul E. Rundberg, Dmd, Pa
Keenan W. Smith, D.M.D., P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina