Dr Vivien Rose Ebert, DMD is a
Dentist - General Practice based in Fairfax, South Carolina. Dr Vivien Rose Ebert is licensed to practice in South Carolina (license number DGD.10864) and her current practice location is
1987 Allendale Fairfax Hwy, Fairfax, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 632-3301.
NPI number for Dr Vivien Rose Ebert is 1962230789 and her current mailing address is 5 Village Row Unit 532, Beaufort, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962230789.
Healthcare Provider's Profile
Full Name | Dr Vivien Rose Ebert |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 1987 Allendale Fairfax Hwy, Fairfax, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962230789
- Provider Enumeration Date: 07/23/2024
- Last Update Date: 08/19/2024
Medical Identifiers
Medical identifiers for Dr Vivien Rose Ebert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962230789 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DGD.10864 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Vivien Rose Ebert is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Vivien Rose Ebert, DMD 5 Village Row Unit 532, Beaufort, SC 29906-7509 Ph: (484) 866-3479 | Dr Vivien Rose Ebert, DMD 1987 Allendale Fairfax Hwy, Fairfax, SC 29827 Ph: (803) 632-3301 |
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