Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Amanda Paige Stater, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386389690

Dr. Amanda Paige Stater, DDS is a Student in an Organized Health Care Education/Training Program in Summerville, South Carolina. Works from 2 locations. Licensed in Indiana and South Carolina.

Licensed in
IN, SC
In the registry since
2022
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1015 N Main St
Summerville, SC 29483-6706
Phone: (843) 486-3144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4758 S Scatterfield Rd, Anderson, IN 46013-2908 — (765) 642-9500

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 10401 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Dentist Taxonomy 122300000X · Licence 12013783A (IN)

Record details

NPI number1386389690
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 2, 2022
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023

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