Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ellis Oaks Dental Center LLC

Organization General Practice Dentistry · NPI 1023180528

Ellis Oaks Dental Center LLC provides General Practice Dentistry in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

776 Daniel Ellis Dr Ste 3A
Charleston, SC 29412
Phone: (843) 762-2065
Fax: (843) 762-7735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2406 (SC)
Dental Clinic/Center Taxonomy 261QD0000X · Licence 2406 (SC)

Record details

NPI number1023180528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Wilson — Office Manager · (843) 762-2065
Other names Christy M Fogle Dmd
NPI enumeratedNovember 14, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Bx 12290, Charleston, SC 29422-2290

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