DR. LAVONNE KELLY FORE (NPI# 1710102405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710102405 |
| Entity Type | Individual |
| Full Name | DR. LAVONNE KELLY FORE |
| Credential | DMD, MSD |
| Practice Address |
915 Folly Rd Ste T Charleston SC 29412-3907 |
| Practice Telephone | 8436428100 |
| Practice Fax Number | 8435660706 |
| Mailing Telephone | 8436428100 |
| Mailing Fax Number | 8435660706 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
9106-981 | SC | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 402 N 4th Ave Sw, Rome, GA 301652812 | 7061920383 | 7062919536 |
| Street Address |
915 FOLLY RD STE T |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29412-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219055 | Terra Rae Mchugh | Speech-Language Pathologist | 418 Folly Rd. Phc Rehab, Suite B, Charleston, SC 29412 | 2020-03-07 |
| 1437795747 | Brigitte Britt Huttemeyer | Nurse Practitioner | 678 Castle Pinckney Dr, Charleston, SC 29412 | 2019-11-21 |
| 1760956619 | Madison Culler, D.m.d., P.a. | Dentist | 211 Simmons Street, Mount Pleasant, SC 29412 | 2019-01-14 |
| 1366932717 | Harborview Speech Therapy, LLC | Speech-Language Pathologist | 783 Stebbins Street, Charleston, SC 29412 | 2018-05-11 |
| 1780193003 | Grace K Cotton | Speech-Language Pathologist | 1265 Marshview Dr, Charleston, SC 29412 | 2017-09-29 |
| 1639628449 | Matthew Husband | Occupational Therapist | 930 Folly Road, Suite B, Charleston, SC 29412 | 2016-09-22 |
| 1679941843 | Renee Poser | Pharmacist | 907 Folly Rd Suite A, James Island, SC 29412 | 2015-09-04 |
| 1508205717 | Amanda Marie Ashcraft | Dental Hygienist | 113 Wappoo Creek Drive Suite 5, James Island Dental Associates Pa, Charleston, SC 29412 | 2013-06-20 |
| 1104147818 | Glendolyn Harrison | Social Worker | 125e Wappoo Creek Drive, Suite 101e, Charleston, SC 29412 | 2010-06-16 |
| 1487986055 | Rachel E. Brunette | Physical Therapist | 418 B Folly Rd., Charleston, SC 29412 | 2010-02-08 |
| Find all providers in zip 29412 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893122 | Foster Orthodontics, Pa | Dentist | 625 Skylark Dr, Charleston, SC 29407-5782 | 2020-08-26 |
| 1487212171 | Kathleen Schessler | Dentist | 818 Beaumont Rd, Charleston, WV 25314-1815 | 2019-05-29 |
| 1699267021 | Trevan Samp | Dentist | 22 Westedge St Ste 106b, Charleston, SC 29403-6983 | 2018-06-01 |
| 1992180335 | John Anthony Palmer IIi | Dentist | 867 Oakwood Road, Charleston, WV 25314 | 2015-07-28 |
| 1306159413 | Jennifer Ballantyne Berwick | Dentist | 712 Saint Andrews Blvd, Charleston, SC 29407-7141 | 2010-07-17 |
| 1295950699 | Luis Paulo Leite | Dentist | 56 Courtenay Dr, Charleston, SC 29403-5707 | 2007-04-13 |
| 1619029071 | R. Cary Bocklet | Dentist | 1845 Savage Rd, Charleston, SC 29407-4726 | 2007-01-17 |
| 1811048135 | Robert Dudley Calcote | Dentist | 163 Rutledge Ave, Suite 300, Charleston, SC 29403-5823 | 2007-01-15 |
| 1902974173 | Imad Shammaa | Dentist | 3920 Maccorkle Ave Se, Charleston, WV 25304 | 2006-12-04 |
| 1336211010 | W. Shane Holmes | Dentist | 867 Oakwood Rd, Charleston, WV 25314-2057 | 2006-11-15 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29412 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.