Individual provider · Type 1 NPI

Chanda Trishaune Elzie Medlock, DDS

General Practice Dentistry · Okatie, SC

NPI number 1073531968 Active

Practice location

719 Okatie Hwy # 170
Okatie, SC 29909-3963

Call (843) 987-7400 Map

Mailing address

PO Box 357
Ridgeland, SC 29936-2605

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X011979 (GA)
General Practice Dentistry Primary 1223G0001X4669 (SC)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

23 other providers at this address

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About NPI 1073531968

Chanda Trishaune Elzie Medlock, DDS's National Provider Identifier is 1073531968, issued on Jul 18, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Okatie, SC. The record was last updated on Mar 11, 2020.