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

Dr. Vivien Rose Ebert, DMD

Individual provider General Practice Dentistry · NPI 1962230789

Dr. Vivien Rose Ebert, DMD is a General Practice Dentistry in Fairfax, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1987 Allendale Fairfax Hwy
Fairfax, SC 29827
Phone: (803) 632-3301
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 DGD.10864 (SC)

Record details

NPI number1962230789
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 23, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address5 Village Row Unit 532, Beaufort, SC 29906-7509

Other providers in Fairfax