NPI 1023180528
Ellis Oaks Dental Center LLC
Practice location
- Address
- 776 Daniel Ellis Drive Suite 3a, Charleston, SC 29412
- Phone
- (843) 762-2065
- Fax
- (843) 762-7735
- Mailing address
- PO Bx 12290, Charleston, SC 29422-2290
Authorised official
- Name
- Teresa E Wilson
- Title
- Office Manager
- Phone
- (843) 762-2065
Registered specialties (2)
General Practice Dentistry
Primary
Dental Clinic/Center
Registry record
- NPI
- 1023180528
- Entity type
- Organization
- NPI issued
- 14 Nov 2006
- Record last updated
- 11 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.