Provider Type Icon

DR. ERIC OLENDORF DDS NPI 1518375054


NPI Information

NPI: 1518375054
Provider Name: DR. ERIC OLENDORF, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
3102 N HIGHWAY 17
MOUNT PLEASANT, SC
ZIP 29466
Phone: (843) 970-7292
Get Directions

DR. Eric Olendorf, DDS is an oral and maxillofacial surgery dentist in Mount Pleasant, SC. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Eric Olendorf, DDS NPI is 1518375054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3102 N HIGHWAY 17
MOUNT PLEASANT, SC
ZIP 29466-925
Phone: (843) 970-7292

The NPI 1518375054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/29/2014 and was last updated on 3/16/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist0401414533VIRGINIANo
2122300000XDentist9530SOUTH CAROLINANo
31223S0112XDentistOral and Maxillofacial Surgery0401414533VIRGINIANo
41223S0112XDentistOral and Maxillofacial Surgery9601SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.