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Ellis Oaks Dental Center Llc
Dental Clinic/Center in Charleston, South Carolina
NPI 1023180528

Ellis Oaks Dental Center Llc is a Dental Clinic/Center based in Charleston, SC and is specialized in Dental. Ellis Oaks Dental Center Llc practices in Charleston, SC. The NPI Number for Ellis Oaks Dental Center Llc is 1023180528 and holds a License No. 2406 (South Carolina).

The current practice location address for Ellis Oaks Dental Center Llc is 776 Daniel Ellis Drive, Charleston, SC and can be reached out via phone at 843-762-2065 and via fax at 843-762-7735. You can also correspond with Ellis Oaks Dental Center Llc through the mailing address at PO BX 12290, CHARLESTON, SC - 29422-2290 (mailing address contact number: 843-762-2065).

Location: 776 Daniel Ellis Drive, Charleston, SC, 29422-2290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023180528
Provider Name
Ellis Oaks Dental Center Llc
Credential
Provider Entity Type
Organization
Address
776 Daniel Ellis Drive, Charleston, SC, 29422-2290
Phone Number
843-762-2065
Fax Number
843-762-7735
Provider Enumeration Date
11/14/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZA9837 05 SC
Z9A9837 05 SC
institution
Provider Business Practice Location Address Details
Address
776 Daniel Ellis Drive
City
Charleston
State
South Carolina
Zip
29412
Phone Number
843-762-2065
Fax Number
843-762-7735
person
Provider Business Mailing Address Details
Address
776 Daniel Ellis Drive
City
Charleston
State
South Carolina
Zip
29412
Phone Number
843-762-2065
Fax Number
843-762-7735
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2406 (South Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
2406 (South Carolina)
Definition
Definition to come...
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