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

Chanda Trishaune Elzie Medlock, DDS

Individual provider General Practice Dentistry · NPI 1073531968

Chanda Trishaune Elzie Medlock, DDS is a General Practice Dentistry in Okatie, South Carolina. Licensed in Georgia and South Carolina. Registered with an NPI since 2006.

Licensed in
GA, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

719 Okatie Hwy # 170
Okatie, SC 29909-3963
Phone: (843) 987-7400
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4669 (SC)
General Practice Dentistry Taxonomy 1223G0001X · Licence 011979 (GA)

Record details

NPI number1073531968
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020

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