Ellis Oaks Dental Center LLC
NPI #1023180528 in Charleston, South Carolina
Provider Information
- NPI Number
- 1023180528
- Entity Type
- Organization
- Organization Name
- Ellis Oaks Dental Center LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 14, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 776 DANIEL ELLIS DRIVE
- Address 2
- SUITE 3A
- City
- Charleston
- State
- South Carolina
- ZIP Code
- 29412
- Phone
- (843) 762-2065
Authorized Official
- Name
- MRS. TERESA E WILSON
- Title
- OFFICE MANAGER
- Phone
- (843) 762-2065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - General Practice — General Practice |
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