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DR THOMAS N STALL DMD OR DR STACY L BLACKMON DDS
NPI 1437370798
Dentist in Lake Wylie, SC

Active since May 02, 2007
1100 VILLAGE HARBOR DR, LAKE WYLIE, SC 29710(803) 831-8856(803) 831-8966 Get Directions Write a Review

NPPES record last updated: February 4, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr Thomas N Stall Dmd Or Dr Stacy L Blackmon Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR THOMAS N STALL DMD OR DR STACY L BLACKMON DDS (NPI 1437370798) is a healthcare organization registered as a dentist in Lake Wylie, South Carolina and active in the NPI registry since May 2007. The organization lists Susan M Stall, Insurance Dept, as its authorized official.

NPPES Registry Identity

NPI1437370798
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLAKE WYLIE FAMILY DENTISTRY PA
Location Address1100 VILLAGE HARBOR DRLake Wylie, SC 29710
Mailing AddressPo Box 5248Lake Wylie, SC 29710 · (803) 831-8856 · Fax (803) 831-8966
Phone(803) 831-8856
Fax(803) 831-8966
Organization SubpartNo
Authorized OfficialSusan M StallInsurance Dept · (803) 831-8856
Enumeration DateMay 2, 2007
Last NPPES UpdateFebruary 4, 2008
✔ NPI 1437370798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in SC · 2830✔ Licensed in SC · 3673
Definition
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.
1100 VILLAGE HARBOR DR, Lake Wylie, SC 29710
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Other Names 1

Other NameDr Thomas N Stall Dmd Or Dr Stacy L Blackmon Dds

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STACY L BLACKMON DDS
Dentist
1100 VILLAGE HARBOR DR, LAKE WYLIE FAMILY DENTISTRY PA
LAKE WYLIE, SC 29710
York County (803) 831-8856
DR. KYLE RICHARD KILPATRICK II DMD
Dentist (General Practice)
1100 VILLAGE HARBOR DR
LAKE WYLIE, SC 29710
York County (803) 831-8856
DR. CHRISTOPHER ANDREW SNELL D.D.S.
Dentist
1100 VILLAGE HARBOR DR
LAKE WYLIE, SC 29710
York County (803) 831-8856

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Wylie Family Dentistry PA's NPI number?

The NPI number for Lake Wylie Family Dentistry PA is 1437370798. It was assigned to this organization in the NPPES registry on May 2, 2007. The provider is also known as Dr Thomas N Stall Dmd Or Dr Stacy L Blackmon Dds.

Where is Lake Wylie Family Dentistry PA located?

Lake Wylie Family Dentistry PA is located at 1100 Village Harbor Dr, Lake Wylie, SC 29710. The listed phone number is (803) 831-8856.

What is Lake Wylie Family Dentistry PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Lake Wylie Family Dentistry PA was last updated on February 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.