ELLIS OAKS DENTAL CENTER LLC
NPI 1023180528
Dentist - General Practice in Charleston, SC

Active since November 14, 2006
776 DANIEL ELLIS DRIVE, SUITE 3A, CHARLESTON, SC 29412(843) 762-2065(843) 762-7735 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Ellis Oaks Dental Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIS OAKS DENTAL CENTER LLC (NPI 1023180528), doing business as Christy M Fogle Dmd, is a healthcare organization registered as a general practice in Charleston, South Carolina and active in the NPI registry since November 2006. The organization lists Teresa E Wilson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1023180528
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameELLIS OAKS DENTAL CENTER LLC
Location Address776 DANIEL ELLIS DRIVE, SUITE 3ACharleston, SC 29412
Mailing AddressPo Bx 12290Charleston, SC 29422-2290 · (843) 762-2065 · Fax (843) 762-7735
Fax(843) 762-7735
Organization SubpartNo
Authorized OfficialTeresa E WilsonOffice Manager · (843) 762-2065
Enumeration DateNovember 14, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1023180528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in SC · 2406
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X · License 2406 (SC)
776 DANIEL ELLIS DRIVE, Charleston, SC 29412

Other Names 1

Doing Business AsChristy M Fogle Dmd

Other Identifiers 2

MedicaidZA9837SC
MedicaidZ9A9837SC

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
776 DANIEL ELLIS DRIVE, SUITE 2B
CHARLESTON, SC 29412
Dentist (General Practice)
776 DANIEL ELLIS DRIVE, SUITE 3A
CHARLESTON, SC 29412
Physician Assistant
776 DANIEL ELLIS DRIVE, UNIT 1 A
CHARLESTON, SC 29412
Pediatrics
776 DANIEL ELLIS DRIVE, SUITE 3C
CHARLESTON, SC 29412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellis Oaks Dental Center LLC's NPI number?

The NPI number for Ellis Oaks Dental Center LLC is 1023180528. It was assigned to this organization in the NPPES registry on November 14, 2006. The provider is doing business as Christy M Fogle DMD.

Where is Ellis Oaks Dental Center LLC located?

Ellis Oaks Dental Center LLC is located at 776 Daniel Ellis Drive Suite 3A, Charleston, SC 29412. The listed phone number is (843) 762-2065.

What is Ellis Oaks Dental Center LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ellis Oaks Dental Center LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.