Healthcare Provider Details

I. General information

NPI: 1013582105
Provider Name (Legal Business Name): SHARON JANE LUI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2021
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 NETHERBY LN # 500
NORTH CHARLESTON SC
29420-7363
US

IV. Provider business mailing address

5401 NETHERBY LN # 500
NORTH CHARLESTON SC
29420-7363
US

V. Phone/Fax

Practice location:
  • Phone: 843-767-3310
  • Fax:
Mailing address:
  • Phone: 843-767-3301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number11490
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: