Organization
ELLIS OAKS DENTAL CENTER LLC
Active
Other names
Christy M Fogle DMD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA E WILSON (OFFICE MANAGER)
(843) 762-2065
Entity
Organization
Contact information
Practice address
776 DANIEL ELLIS DRIVE, SUITE 3A, CHARLESTON, SC 29412
(843) 762-2065
(843) 762-7735
Mailing address
PO BX 12290, CHARLESTON, SC 29422-2290
(843) 762-2065
(843) 762-7735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2406
SC
261QD0000X
Dental Clinic/Center
2406
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z9A9837
—
SC
05
—
ZA9837
—
SC
Enumeration date
11/14/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us