Christy M Fogle Dmd
LBN: Ellis Oaks Dental Center Llc
Christy M Fogle Dmd is an health care organization with primary practice located at 776 Daniel Ellis Drive Suite 3A, Charleston SC 29412. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Dental Providers / General Practice is the primary health care specialty.
Ellis Oaks Dental Center Llc can be contacted via phone (843) 762-2065, or through Wilson, Teresa E via phone (843) 762-2065.
Contact Information
Primary practice address
776 Daniel Ellis Drive Suite 3A
Charleston SC 29412
Phone: (843) 762-2065
Fax: (843) 762-7735
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2406 | South Carolina |
| Ambulatory Health Care Facilities / Dental | 261QD0000X | 2406 | South Carolina |
Profile Details
| NPI number | 1023180528 |
|---|---|
| LBN Legal business name | Ellis Oaks Dental Center Llc |
| DBA Doing business as | Christy M Fogle Dmd |
| Authorized official | Wilson, Teresa E |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023180528 | NPPES |
| South Carolina | MEDICAID | ZA9837 | |
| South Carolina | MEDICAID | Z9A9837 |
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