person
Dr. Ivy Ellis White
Dental Clinic/Center in Mount Pleasant, South Carolina
NPI 1497322440

Ivy Ellis White is a Dental Clinic/Center based in Mount Pleasant, SC and is specialized in Dental. Ivy Ellis White practices in Mount Pleasant, SC. The NPI Number for Ivy Ellis White is 1497322440 and holds a License No. 9913 (South Carolina).

The current practice location address for Ivy Ellis White is 2928 N Highway 17, Mount Pleasant, SC and can be reached out via phone at 843-856-8856 and via fax at 843-856-8814.

Location: 2928 N Highway 17, Mount Pleasant, SC, 29466-8958
person
Provider Profile Details
NPI Number
1497322440
Provider Name
Ivy Ellis White
Credential
Provider Entity Type
Individual
Gender
Female
Address
2928 N Highway 17, Mount Pleasant, SC, 29466-8958
Phone Number
843-856-8856
Fax Number
843-856-8814
Provider Enumeration Date
06/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9913 01 SC SOUTH CAROLINA DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2928 N Highway 17
City
State
Zip
29466-8958
Phone Number
843-856-8856
Fax Number
843-856-8814
person
Provider Business Mailing Address Details
Address
2928 N Highway 17
City
State
Zip
29466-8958
Phone Number
843-856-8856
Fax Number
843-856-8814
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
9913 (South Carolina)
Definition
Definition to come...
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