Active NPIIndividual provider

Dr. Alexis M Hallissey, DMD

Dentist, General Practice in Summerville, South Carolina

NPI Number1770894149
Practice location
1264 Nexton Pkwy Ste 202, Summerville, SC 29486-2167
Fax
—
Last updated
April 15, 2025

Alexis Marthajane Hallissey is a Dentist, General Practice based in Summerville, SC. Alexis Marthajane Hallissey practices in Summerville, SC and has the professional credentials of DMD. The NPI Number for Alexis Marthajane Hallissey is 1770894149 and holds a License No. 03858 (NH). The current practice location address for Alexis Marthajane Hallissey is 1264 Nexton Pkwy Ste 202, Summerville, SC 29486-2167 and can be reached out via phone at 854-237-0876.

Provider Profile Details

NPI Number
1770894149
Provider Name
Alexis Marthajane Hallissey
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1264 Nexton Pkwy Ste 202, Summerville, SC 29486-2167
Phone Number
854-237-0876
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Other Names
Dr. Alexis Marthajane Fraser (Former Name)
Provider Enumeration Date
June 30, 2010
Last Update Date
April 15, 2025
Certification Date
April 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1264 Nexton Pkwy Ste 202
Summerville, SC 29486-2167
Zip
29486-2167
Phone Number
854-237-0876
Summerville, SC 29486Get directions →

Provider Business Mailing Address Details

Address
23 Walker St
Kittery, ME 03904-1728
City
Kittery
State
ME
Zip
03904-1728
Phone Number
207-439-2310

License Information

License Number (1)
03858
License State (1)
NH
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
9840
License State (2)
SC
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary
License Number (3)
4412
License State (3)
ME
Taxonomy (3)
Dentist · 122300000X

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. Alexis M Hallissey, DMD?

The NPI number of Dr. Alexis M Hallissey, DMD is 1770894149. It was assigned on June 30, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Alexis M Hallissey, DMD?

Dr. Alexis M Hallissey, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NH under license number 03858.

Where does Dr. Alexis M Hallissey, DMD practice?

The practice location is 1264 Nexton Pkwy Ste 202, Summerville, SC 29486-2167. The office can be reached at 854-237-0876 (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 1770894149 directly on the NPPES registry website.

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