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Dr. Robert H. Ellis III, DMD
Pediatric Dentist in Columbia, South Carolina
NPI 1023079654

Robert H. Ellis III is a Pediatric Dentist based in Columbia, SC and is specialized in Pediatric Dentistry. Robert H. Ellis III practices in Columbia, SC and has the professional credentials of DMD. The NPI Number for Robert H. Ellis III is 1023079654 and holds a License No. 10406 (South Carolina).

The current practice location address for Robert H. Ellis III is 8905 Two Notch Rd, Columbia, SC and can be reached out via phone at 803-788-9593 and via fax at 803-788-3123.

Location: 8905 Two Notch Rd, Columbia, SC, 29223-6367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023079654
Provider Name
Robert H. Ellis III
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
8905 Two Notch Rd, Columbia, SC, 29223-6367
Phone Number
803-788-9593
Fax Number
803-788-3123
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZA9724 05 SC
ZX3691 05 SC
institution
Provider Business Practice Location Address Details
Address
8905 Two Notch Rd
City
Columbia
State
South Carolina
Zip
29223-6367
Phone Number
803-788-9593
Fax Number
803-788-3123
person
Provider Business Mailing Address Details
Address
8905 Two Notch Rd
City
Columbia
State
South Carolina
Zip
29223-6367
Phone Number
803-788-9593
Fax Number
803-788-3123
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
3691 (South Carolina)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
10406 (South Carolina)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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