OrganizationActive
Lake Wylie Family Dentistry PA
NPI 1437370798 · Dentist · Lake Wylie, SC
Lake Wylie Family Dentistry PA is a Dentist organization in Lake Wylie, SC (NPI 1437370798).
Provider details
- NPI number
- 1437370798
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Susan Stall, Insurance Dept(803) 831-8856
- License
- 3673 (SC)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1100 Village Harbor Dr
Lake Wylie, SC 29710
Phone: (803) 831-8856
Fax: (803) 831-8966
Street-level locationGet directions
Mailing address
Po Box 5248
Lake Wylie, SC 29710
Other names (DBA / former)
- Other name
- Dr Thomas N Stall DMD Or Dr Stacy L Blackmon DDS
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2008-02-04
Frequently asked questions
- What is Lake Wylie Family Dentistry PA's NPI number?
- Lake Wylie Family Dentistry PA's National Provider Identifier (NPI) is 1437370798, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Wylie Family Dentistry PA?
- Lake Wylie Family Dentistry PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Lake Wylie Family Dentistry PA located?
- Lake Wylie Family Dentistry PA's practice location on file with NPPES is 1100 Village Harbor Dr, Lake Wylie, SC 29710.
- What is Lake Wylie Family Dentistry PA's phone number?
- The practice phone number listed in the NPPES registry for Lake Wylie Family Dentistry PA is (803) 831-8856.
- Who is the authorized official for Lake Wylie Family Dentistry PA?
- The authorized official listed on Lake Wylie Family Dentistry PA's NPPES record is Susan Stall, Insurance Dept. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Wylie Family Dentistry PA's NPI active?
- Yes — Lake Wylie Family Dentistry PA's NPI (1437370798) is active in the NPPES registry as of the last update on 2008-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.