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

Marquis Center of Charleston LLC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1174412787

Marquis Center of Charleston LLC is an Oral and Maxillofacial Surgery Clinic/Center in Charleston, South Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1470 Tobias Gadson Blvd Ste 200
Charleston, SC 29407-4925
Phone: (618) 402-6622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X

Record details

NPI number1174412787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clark Petersen — Director Of Infrastructure · (618) 402-6622
Other names Doctors Implants
NPI enumeratedJune 30, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address4447 N Central Expy Ste 110, Dallas, TX 75205-4246