Provider Demographics
NPI:1619033024
Name:PILCHER, ELIZABETH STEFFENS (DMD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:STEFFENS
Last Name:PILCHER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 ASHLEY AVE
Mailing Address - Street 2:DEPT OF RESTORATIVE DENTISTRY
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29425-0001
Mailing Address - Country:US
Mailing Address - Phone:843-792-2337
Mailing Address - Fax:843-792-1593
Practice Address - Street 1:173 ASHLEY AVE
Practice Address - Street 2:DENTAL FACULTY PRACTICE
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-0001
Practice Address - Country:US
Practice Address - Phone:843-792-2337
Practice Address - Fax:843-792-1593
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2433122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist