Ellis, Mona Tw
Ellis, Mona Tw is an individual health care provider with primary practice located at 1289 Boulevard St , Orangeburg SC 29115-3401. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Ellis, Mona Tw can be contacted via phone (803) 533-0626.Contact Information
Primary practice address
1289 Boulevard St
Orangeburg SC 29115-3401
Phone: (803) 533-0626
Fax: (803) 533-0627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2103 | South Carolina |
Profile Details
| NPI number | 1962571687 |
|---|---|
| LBN Legal business name | Ellis, Mona Tw |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962571687 | NPPES |
| South Carolina | MEDICAID | ZZ2103 |
Popular Providers
-
Brown, Roger Thomas
3310 Magnolia St. , Orangeburg SC 29115-1466 -
Dixon, Julian Spencer
630 Laurel St , Orangeburg SC 29115-4835 -
Marine, Ouida
882 Cook Rd , Orangeburg SC 29118-2126 -
Tomic, Beth
48Th Mdg/ Raf Lakenheath Unit 5115, Apo AE 09461-5115 -
Sanai, Nima
1514 W Devon Ave , Chicago IL 60660-1314 -
Mandalia, Vinodkumar H
826 Bustleton Pike Suite 105, Feasterville PA 19053-6064 -
Dash, Shannon Alicia Williams
1532 Saint Matthews Rd , Orangeburg SC 29118-2437 -
Sok, Jon
401 S Main St , Deer Park WA 99006-8238