E.L. CENTRE POINTE PROFESSIONAL LLC (NPI# 1851918882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851918882 |
| Entity Type | Organization |
| Organization Name | E.L. CENTRE POINTE PROFESSIONAL LLC |
| Practice Address |
4965 Centre Pointe Dr Ste 100 North Charleston SC 29418-6945 |
| Practice Telephone | 8432770102 |
| Practice Fax Number | 8432770422 |
| Mailing Telephone | 8432770102 |
| Mailing Fax Number | 8432770422 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | DR. LUKE ALEXANDER LISZKA (PERIODONTIST) |
| Authorized Official Telephone | 8432770102 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Teeth Dentists & Specialists | Doing Business As Name - Organization |
| Street Address |
4965 CENTRE POINTE DR STE 100 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29418-6945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710529235 | Safe Keeping Healthcare LLC | Home Health | 2850 Ashley Phoshate Rd Suite J, Charleston, SC 29418 | 2019-10-16 |
| 1487136180 | Aston J Rosenberg | Speech-Language Pathologist | 4362 Leslie St, North Charleston, SC 29418 | 2018-08-30 |
| 1285178996 | Aaron Brown | Counselor | 5060 Dorchester Road, Suite 200, North Charleston, SC 29418 | 2016-12-14 |
| 1003265828 | Health Edge Laser LLC | Chiropractor | 4965 Centre Pointe Dr. Suite 100, North Charleston, SC 29418 | 2016-06-13 |
| 1568866481 | Rickey Ciapha Dennis Sr. | Social Worker | 108 Knightsbridge Drive, North Charleston, SC 29418 | 2014-10-21 |
| 1780086330 | Stephanie Washington | Specialist | 5060 Drochester Rd, North Charleston, SC 29418 | 2014-09-25 |
| 1043631369 | Julian H. Campbell, Dmd PC | Dentist | 3188 W. Montague Ave, North Charleston, SC 29418 | 2014-01-05 |
| 1750660676 | Marie's Home Care | Home Health | 7610 Mcknight St., Apt.a, North Charleston, SC 29418 | 2011-08-09 |
| 1437437548 | Trident General Dentistry, Douglas S Rawls, Dm | Dentist | 6335 Dorchester Road, North Carleston, SC 29418 | 2011-07-25 |
| 1508165291 | Patrick Michael Looser | Internal Medicine | 4969 Centre Pointe Dr Ste 100, North Charleston, SC 29418 | 2011-03-21 |
| Find all providers in zip 29418 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750783338 | Frank C. Sparacino Dds Mhs PC | Dentist | 8800 Northpark Blvd, North Charleston, SC 29406-9226 | 2014-09-25 |
| 1235176603 | Frank Carl Sparacino | Dentist | 8730 Northpark Blvd, Building 4, Suite A, North Charleston, SC 29406-9265 | 2006-06-02 |
| 1275603649 | Maurice H Weintraub | Dentist | 2070 Northbrook Blvd, Ste 12a, North Charleston, SC 29406 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084408 | Diane Jenkins Periodontics of Congaree, LLC | Dentist | 600 Congaree Rd, Greenville, SC 29607-3518 | 2020-05-14 |
| 1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
| 1447769831 | Beaufort Oral and Facial Surgery, LLC | Dentist | 968 Ribaut Rd Ste 3, Beaufort, SC 29902-8002 | 2017-09-28 |
| 1487184727 | Hillary Nona Wright | Dentist | 1064 Gardner Rd Ste 110, Charleston, SC 29407-5711 | 2017-06-19 |
| 1649725102 | Carolina Periodontics & Dental Implants | Dentist | 112 W Broad St Unit 405, Greenville, SC 29601-2688 | 2016-08-24 |
| 1649630492 | Samir Dilip Patel | Dentist | 342 Patricia Ln Ste 103, Fort Mill, SC 29708-6608 | 2016-03-07 |
| 1225410558 | Happy Teeth Happy Kids, LLC | Dentist | 3074 Deville St, Myrtle Beach, SC 29577-1569 | 2015-06-23 |
| 1346682754 | Tyresia Jovon White | Dentist | 440 Society Hill Dr Ste 201, Aiken, SC 29803 | 2013-07-25 |
| 1134472426 | Jeffrey J Laro | Dentist | 2090 Charlie Hall Blvd, Suite 100, Charleston, SC 29414-8200 | 2012-10-24 |
| 1407117385 | Kara Grasso Veeder | Dentist | 173 Ashley Ave Ste 119, Charleston, SC 29425-8908 | 2012-06-06 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29418 |
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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.