DR. ELISSA LAUREN TEASDALE (NPI# 1538571005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538571005 |
| Entity Type | Individual |
| Full Name | DR. ELISSA LAUREN TEASDALE |
| Credential | DMD |
| Practice Address |
1000 Tanner Ford Blvd Hanahan SC 29410-4707 |
| Mailing Address |
5 Millstream Ln Penacook NH 03303-1819 |
| Practice Telephone | 8438185437 |
| Mailing Telephone | 6037381308 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DGD.8377 GD | SC | Dental Providers |
| Street Address |
1000 TANNER FORD BLVD |
| City | HANAHAN |
| State | SC |
| Zip Code | 29410-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184789281 | Isabel Ghowanlu Driggers | Dentist | 1000 Tanner Ford Blvd, Suite 370, Hanahan, SC 29410-4707 | 2006-12-27 |
| 1720553209 | Sarah Crawford | Pharmacist | 1000 Tanner Ford Blvd, Hanahan, SC 29410-4707 | 2018-10-10 |
| 1598154999 | Coastal Kids Dental & Braces | Dentist | 1000 Tanner Ford Blvd, Ste 370, Hanahan, SC 29410-4707 | 2015-01-22 |
| 1427330695 | Joseph Brian Clark | Pharmacist | 1000 Tanner Ford Blvd, Hanahan, SC 29410 | 2011-09-14 |
| 1386924843 | Seth Ian Zeigler | Pharmacist | 1000 Tanner Ford Blvd, Hanahan, SC 29410-4707 | 2011-08-27 |
| 1659693695 | Coastal Kids Dental | Dentist | 1000 Tanner Ford Blvd, Suite 370, Hanahan, SC 29410-4707 | 2010-02-18 |
| 1699921726 | Bi-lo, LLC. | Durable Medical Equipment & Medical Supplies | 1000 Tanner Ford Blvd, Hanahan, SC 29410 | 2008-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148415 | Peachy Speech LLC | Speech-Language Pathologist | 1004 Holcombe Rd, Hanahan, SC 29410 | 2020-06-12 |
| 1922510783 | Tedc | Pharmacy | 1298 Yeamans Hall Rd, Hanahan, SC 29410 | 2017-11-01 |
| 1962811471 | Tammy Elizabeth Hiott | Nurse Practitioner | 1800 Eagle Landing Boulevard, Agape Physicians Care At Heartland of Hanahan, Hanahan, SC 29410 | 2014-08-08 |
| 1568718351 | John Bradley Palles | Dentist | 1224 Yeamans Hall Road, Hanahan, SC 29410 | 2012-07-30 |
| 1316292816 | Blaine Allen Burris | Specialist/Technologist | 7344 Suncatcher Dr, Hanahan, SC 29410 | 2012-07-20 |
| 1437221959 | Kjersti Damsker | Dentist | 1000 Tanner Ford Blvd., Hanahan, SC 29410 | 2006-11-14 |
| 1619063443 | Laurie Johnson Tackett | Occupational Therapist | 7313 Horned Grebe Ct, Hanahan, SC 29410 | 2006-10-05 |
| 1205938040 | Nancey Trevanian Tsai | Physical Medicine & Rehabilitation | 18 N Basilica Ave, Hanahan, SC 29410 | 2006-09-02 |
| 1194791087 | Morgan A Lowry | Internal Medicine | 7323 Water Thrush Ct, Hanahan, SC 29410 | 2006-02-28 |
| 1972579456 | Stephen C Chadwick | Dentist | 1005 Tanner Ford Blvd, Suite 102, Hanahan, SC 29410 | 2006-02-24 |
| Find all providers in zip 29410 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578000329 | Zehra Zaid | Dentist | 996 Tanner Ford Blvd, Hanahan, SC 29410-4780 | 2017-01-31 |
| 1982611695 | Joseph Lembo | Dentist | 1818 Remount Rd, Hanahan, SC 29406 | 2006-08-02 |
| 1972579456 | Stephen C Chadwick | Dentist | 1005 Tanner Ford Blvd, Suite 102, Hanahan, SC 29410 | 2006-02-24 |
| 1063901692 | Dentistry for Children of South Carolina PC | Dentist | 996 Tanner Ford Blvd, Hanahan, SC 29410-4780 | 2018-05-09 |
| 1861943607 | Hugh Robinson Dmd Pa | Dentist | 1281 Yeamans Hall Rd, Hanahan, SC 29410-2784 | 2016-10-17 |
| 1275975641 | Ryan Scott Robinson | Dentist | 1281 Yeamans Hall Rd, Hanahan, SC 29410-2784 | 2013-07-25 |
| 1699030767 | Dana Durlach | Dentist | 1005 Tanner Ford Blvd, Ste 102, Hanahan, SC 29410-4713 | 2012-07-05 |
| 1235312356 | Chadwick & Kolmodin | Dentist | 1818 Remount Rd, Hanahan, SC 29410 | 2007-12-12 |
| 1497721955 | Johan I Kolmodin | Dentist | 1005 Tanner Ford Blvd, Suite 102, Hanahan, SC 29410 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558057 | Roberto Selonk Buechele | Dentist | 460 Killian Rd Ste 1, Columbia, SC 29203-9742 | 2020-11-02 |
| 1396342762 | Leonard James Cochrane IIi | Dentist | 150 Bee St Apt 706, Charleston, SC 29401-5706 | 2020-10-07 |
| 1134735129 | Kidz Planet Pediatric Dentistry - Sda Pa | Dentist | 960 Ribaut Rd Ste 3, Beaufort, SC 29902-5434 | 2020-09-16 |
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1922624618 | Todays Dental At Lexington LLC | Dentist | 458 Old Cherokee Rd Ste 100, Lexington, SC 29072-6971 | 2020-06-18 |
| 1912522426 | Andrea Ballengee | Dentist | 4405 Highway 17, Murrells Inlet, SC 29576-5097 | 2020-06-10 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1750919718 | Destination Dental LLC | Dentist | 155 Deacon Tiller Ct Ste 101, Duncan, SC 29334-8880 | 2020-03-27 |
| 1194360024 | Affordable Dentures & Implants - Orangeburg, P.C. | Dentist | 1532 Saint Matthews Rd, Orangeburg, SC 29118-2437 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.