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DR. MONA TW ELLIS DMD
NPI 1962571687
Dentist in Orangeburg, SC

Active since November 07, 2006PECOS Enrolled
1289 BOULEVARD ST, ORANGEBURG, SC 29115(803) 533-0626(803) 533-0627 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Mona Tw Ellis Dmd NPPES

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

DR. MONA TW ELLIS DMD (NPI 1962571687) is an individual dentist in Orangeburg, South Carolina, licensed in South Carolina (2103) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962571687
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MONA TW ELLISCredential: DMD
Location Address1289 BOULEVARD STOrangeburg, SC 29115-3401
Mailing Address1289 Boulevard StOrangeburg, SC 29115-3401 · (803) 533-0626 · Fax (803) 533-0627
Phone(803) 533-0626
Fax(803) 533-0627
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962571687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SC · 2103
Definition
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.
1289 BOULEVARD ST, Orangeburg, SC 29115
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Other Identifiers 1

MedicaidZZ2103SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mona Tw Ellis Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mona Ellis's NPI number?

The NPI number for Mona Ellis is 1962571687. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Mona Ellis located?

Mona Ellis practices at 1289 Boulevard St, Orangeburg, SC 29115. The listed phone number is (803) 533-0626.

What is Mona Ellis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mona Ellis enrolled in Medicare?

Yes. Mona Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mona Ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.