Individual
DR. LUKE ELLINGTON SEVERANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
538 SAVANNAH HWY, CHARLESTON, SC 29407-7210
(843) 722-1676
Mailing address
73 FOLLY ROAD BLVD, CHARLESTON, SC 29407-7547
(843) 610-0815
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10256
SC
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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