Individual provider · Type 1 NPI
Ivy Ellis White
Dental Clinic/Center · Mount Pleasant, SC
NPI number
1497322440
Active
Practice location
2928 N Highway 17
Mount Pleasant, SC 29466-8958
Fax (843) 856-8814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 9913 (SC) |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1497322440
Ivy Ellis White's National Provider Identifier is 1497322440, issued on Jun 8, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mount Pleasant, SC. The record was last updated on Jun 8, 2021.