Provider Demographics
NPI:1841510401
Name:MCELVEEN, JOSEPH REESE (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:REESE
Last Name:MCELVEEN
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 ALEXANDRA DR
Mailing Address - Street 2:UNIT #7
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-2853
Mailing Address - Country:US
Mailing Address - Phone:843-323-7281
Mailing Address - Fax:
Practice Address - Street 1:2057 CHARLIE HALL BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-6164
Practice Address - Country:US
Practice Address - Phone:843-323-7281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-07
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC45941223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics