E.L. CENTRE POINTE PROFESSIONAL LLC NPI 1851918882

NPI Information

E.L. CENTRE POINTE PROFESSIONAL LLC is a periodontics dentist in North Charleston, SC. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. E.L. CENTRE POINTE PROFESSIONAL LLC NPI is 1851918882. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4965 CENTRE POINTE DR STE 100
NORTH CHARLESTON, SC
ZIP 29418-945
Phone: (843) 277-0102
Fax: (843) 277-0422

The provider's authorized official is Luke Alexander Liszka .
The authorized official title is Periodontist and has the following contact phone number (843) 277-0102.

The enumeration date for this NPI number is 6/25/2020 and was last updated on 6/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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