Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jason Andrew Stack, DMD

Individual provider General Practice Dentistry · NPI 1063430510

Dr. Jason Andrew Stack, DMD is a General Practice Dentistry in Greenville, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

40 Creekview Ct
Greenville, SC 29615-4800
Phone: (864) 676-0825
Fax: (864) 676-9859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3618 (SC)

Record details

NPI number1063430510
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 17, 2006
Last updated in NPPESJuly 8, 2007

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