MEDICARE: DR. JOSEPH REESE MCELVEEN D.M.D., M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	4594	SC

General Provider Information

NPI Number	:	1841510401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH REESE MCELVEEN D.M.D., M.S.

Provider Business Mailing Address
First Line	:	272 ALEXANDRA DR
Second Line	:	UNIT #7
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-2853
Country	:	US
Telephone Number	:	843-323-7281
Fax Number	:

Provider Business Practice Location Address
First Line	:	2057 CHARLIE HALL BLVD
Second Line	:	SUITE D
City	:	CHARLESTON
State	:	SC
Zip	:	29414-6164
Country	:	US
Telephone Number	:	843-323-7281
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2010
Last Update Date	:	04/02/2012

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