E.L. Centre Pointe Professional LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

E.L. CENTRE POINTE PROFESSIONAL LLC

Practice address

4965 Centre Pointe Dr Ste 100
North Charleston, SC 29418-6945

Phone

(843) 277-0102

Fax

(843) 277-0422

NPI assigned

Jun 25, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Luke Alexander Liszka, DMD

Title

Periodontist

Phone

(843) 277-0102

Specialties & licenses 1

Addresses

Other names 1

• Teeth Dentists & Specialists Doing business as

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1851918882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4965 CENTRE POINTE DR STE 100",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294186945",
            "telephone_number": "843-277-0102",
            "fax_number": "843-277-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4965 CENTRE POINTE DR STE 100",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294186945",
            "telephone_number": "843-277-0102",
            "fax_number": "843-277-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E.L. CENTRE POINTE PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "LISZKA",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "843-277-0102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teeth Dentists & Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlene F. Durham, MSR, PT
• Cameron Duvall
• Hannah Dweikat
• Rene Dykstra
• Avery Dzvonik
• Carlethia Eaddie
• Eagle Point Supplies, LLC
• Kelly L Earwood, MSN RN
• Victoria Easom, M.A., LPC
• Laurin Eason

• Periodontics in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Periodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.