Healthcare Provider Details

I. General information

NPI: 1104752476
Provider Name (Legal Business Name): BELLE HALL FAMILY DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

636 LONG POINT RD UNIT F
MOUNT PLEASANT SC
29464-8286
US

IV. Provider business mailing address

636 LONG POINT RD UNIT F
MOUNT PLEASANT SC
29464-8286
US

V. Phone/Fax

Practice location:
  • Phone: 843-971-8668
  • Fax: 843-881-7499
Mailing address:
  • Phone: 843-971-8668
  • Fax: 843-881-7499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEXA WILLIAMSON
Title or Position: OWNER/DOCTOR
Credential: DMD
Phone: 856-371-3147