Individual provider Active NPI

Luke Alexander Liszka, DMD

  • Periodontics
  • Mount Pleasant, SC
National Provider Identifier
1659686707
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
9325 Issued in SC
Practice address
910 Johnnie Dodds Blvd Ste 120
Mount Pleasant, SC 29464-5909
Phone
(843) 259-2210
NPI assigned
Aug 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 9325 SC Primary

Addresses

Primary practice location

910 Johnnie Dodds Blvd Ste 120
Mount Pleasant, SC 29464-5909

Mailing address

910 Johnnie Dodds Blvd Ste 120
Mount Pleasant, SC 29464-5909
Phone (403) 909-0302

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.charlestonendoperio.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9325SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teeth Specialty Center LLC Periodontics CurrentSince Sep 14, 2025 Accepting new patients
Le Summerville Dental LLC Periodontics Current Accepting new patients
Le Summerville Dental LLC Current Accepting new patients

Locations

240 Seven Farms Dr
Ste 101
Daniel Island, SC 29492
Phone (843) 284-4444

910 Johnnie Dodds Blvd
Ste 120
Mt Pleasant, SC 29464
Phone (403) 909-0302

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1659686707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 JOHNNIE DODDS BLVD STE 120",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645909",
            "telephone_number": "403-909-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 JOHNNIE DODDS BLVD STE 120",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645909",
            "telephone_number": "843-259-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISZKA",
        "first_name": "LUKE",
        "middle_name": "ALEXANDER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-13",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "9325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.charlestonendoperio.com",
            "affiliation": "N",
            "address_1": "910 Johnnie Dodds Blvd Ste 120",
            "city": "Mount Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294645909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.