Active NPIIndividual provider

Dr. Elissa L Teasdale, DMD

Dentist in Hanahan, South Carolina

NPI Number1538571005
Practice location
1000 Tanner Ford Blvd, Hanahan, SC 29410-4707
Fax
—
Last updated
June 2, 2014

Elissa Lauren Teasdale is a Dentist based in Hanahan, SC. Elissa Lauren Teasdale practices in Hanahan, SC and has the professional credentials of DMD. The NPI Number for Elissa Lauren Teasdale is 1538571005 and holds a License No. DGD.8377 GD (SC). The current practice location address for Elissa Lauren Teasdale is 1000 Tanner Ford Blvd, Hanahan, SC 29410-4707 and can be reached out via phone at 843-818-5437.

Provider Profile Details

NPI Number
1538571005
Provider Name
Elissa Lauren Teasdale
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1000 Tanner Ford Blvd, Hanahan, SC 29410-4707
Phone Number
843-818-5437
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
June 2, 2014
Last Update Date
June 2, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1000 Tanner Ford Blvd
Hanahan, SC 29410-4707
Zip
29410-4707
Phone Number
843-818-5437
Hanahan, SC 29410Get directions →

Provider Business Mailing Address Details

Address
5 Millstream Ln
Penacook, NH 03303-1819
City
Penacook
State
NH
Zip
03303-1819
Phone Number
603-738-1308

License Information

License Number
DGD.8377 GD
License State
SC
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Elissa L Teasdale, DMD?

The NPI number of Dr. Elissa L Teasdale, DMD is 1538571005. It was assigned on June 2, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Elissa L Teasdale, DMD?

Dr. Elissa L Teasdale, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in SC under license number DGD.8377 GD.

Where does Dr. Elissa L Teasdale, DMD practice?

The practice location is 1000 Tanner Ford Blvd, Hanahan, SC 29410-4707. The office can be reached at 843-818-5437 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538571005 directly on the NPPES registry website.

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