Ellis Oaks Dental Center LLC
NPI 1023180528ActiveOrganization· Dentist, General Practice· Charleston, SC
Dentist, General Practice in Charleston, South Carolina, registered in NPPES in November 2006. The authorized official on file is Teresa E. Wilson, Office Manager.
Overview
| NPI | 1023180528 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 14, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 2406 | SC |
| Clinic/Center, Dental | 261QD0000X | 2406 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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