Dr. John C. Eliassen, D.D.S.
Dentist in Okatie, SC. Individual provider (NPI-1).
NPI number1750311684
StatusActive
Last updated in NPPESMar 10, 2020
Details
- NPI
- 1750311684
- Entity type
- Individual (NPI-1)
- Name
- Dr. John C. Eliassen
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2006
- Certification date
- Mar 10, 2020
- Last updated
- Mar 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 8167 | SC | Yes |
Practice location
719 Okatie Hwy # 170Okatie, SC 29909-3963
Phone 843-987-7400
Mailing address
812 10th StPort Royal, SC 29935-2422
Phone 843-521-7733
Other practice locations
6315 Jonathan Francis Sr Rd
Saint Helena Island, SC 29920-5310
Saint Helena Island, SC 29920-5310
Phone 843-838-2086
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