Marquis Center of Charleston LLC
NPI 1174412787 · Oral and Maxillofacial Surgery Clinic/Center · Charleston, SC
Marquis Center of Charleston LLC is a Oral and Maxillofacial Surgery Clinic/Center organization in Charleston, SC (NPI 1174412787).
Provider details
- NPI number
- 1174412787
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Clark Petersen, Director of Infrastructure(618) 402-6622
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Doctors Implants
Registry dates
- Enumerated
- 2025-06-30
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Frequently asked questions
- What is Marquis Center of Charleston LLC's NPI number?
- Marquis Center of Charleston LLC's National Provider Identifier (NPI) is 1174412787, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marquis Center of Charleston LLC?
- Marquis Center of Charleston LLC is classified in the NPPES registry as Oral and Maxillofacial Surgery Clinic/Center (Ambulatory Health Care Facilities).
- Where is Marquis Center of Charleston LLC located?
- Marquis Center of Charleston LLC's practice location on file with NPPES is 1470 Tobias Gadson Blvd Ste 200, Charleston, SC 29407-4925.
- What is Marquis Center of Charleston LLC's phone number?
- The practice phone number listed in the NPPES registry for Marquis Center of Charleston LLC is (618) 402-6622.
- Who is the authorized official for Marquis Center of Charleston LLC?
- The authorized official listed on Marquis Center of Charleston LLC's NPPES record is Clark Petersen, Director of Infrastructure. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marquis Center of Charleston LLC's NPI active?
- Yes — Marquis Center of Charleston LLC's NPI (1174412787) is active in the NPPES registry as of the last update on 2025-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.