North Charleston Dental Outreach

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NORTH CHARLESTON DENTAL OUTREACH

Practice address

3625 Azalea Dr
North Charleston, SC 29405-7610

Phone

(843) 740-7114

NPI assigned

Mar 19, 2024

Last updated

Mar 19, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elijah Jonathan Melendez

Title

Development Director

Phone

(843) 740-7114

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1467212464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 AZALEA DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057610",
            "telephone_number": "843-740-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 AZALEA DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294057610",
            "telephone_number": "843-740-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CHARLESTON DENTAL OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "DEVELOPMENT DIRECTOR",
        "authorized_official_telephone_number": "843-740-7114"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Norris-Mulligan, MA, CCC-SLP
• Anna Caroline Norris, DMD
• North Area Anesthesia Services, PA
• North Charleston Assisted Living, LLC (Ashley Landing Assisted Living)
• North Charleston Dental Associates, LLC
• North Palm Counseling Center, LLC
• North Rivers Dental Assoc Inc
• Maureen Murphy North, PA-C
• Northwoods Family Practice, LLC.
• Carolyn Norwood, RN

• Dental Clinic/Center in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.