Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellis Oaks Dental Center LLC

Organization General Practice Dentistry · NPI 1023180528

Ellis Oaks Dental Center LLC is a 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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