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LONGBOARD DENTAL LLC
NPI 1134837503
Clinic/Center - Dental in Mt Pleasant, SC

Active since November 14, 2022
405 FAISON ROAD, SUIRE A3, MT PLEASANT, SC 29466(843) 654-1373(843) 654-1374 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Longboard Dental Llc NPPES

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

LONGBOARD DENTAL LLC (NPI 1134837503) is a healthcare organization registered as a dental in Mt Pleasant, South Carolina and active in the NPI registry since November 2022. The organization lists Ellen Paulisick Wolf, Dentist, as its authorized official.

NPPES Registry Identity

NPI1134837503
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLONGBOARD DENTAL LLC
Location Address405 FAISON ROAD, SUIRE A3Mt Pleasant, SC 29466
Mailing Address405 Faison Road, Suire A3Mt Pleasant, SC 29466 · (843) 654-1373 · Fax (843) 654-1374
Phone(843) 654-1373
Fax(843) 654-1374
Organization SubpartNo
Authorized OfficialEllen Paulisick WolfDentist · (843) 654-1373
Enumeration DateNovember 14, 2022
NPPES CertifiedNovember 9, 2022
✔ NPI 1134837503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
405 FAISON ROAD, Mt Pleasant, SC 29466
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Other Providers at the Same Location NPPES

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

DR. ELLEN PAULISICK WOLF D.D.S, FAGD
Dentist
405 FAISON ROAD, SUITE 103
MT PLEASANT, SC 29466
Charleston County (843) 654-1373

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 Longboard Dental LLC's NPI number?

The NPI number for Longboard Dental LLC is 1134837503. It was assigned to this organization in the NPPES registry on November 14, 2022.

Where is Longboard Dental LLC located?

Longboard Dental LLC is located at 405 Faison Road Suire A3, Mt Pleasant, SC 29466. The listed phone number is (843) 654-1373.

What is Longboard Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Longboard Dental LLC was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.