Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962230789 Individual Practitioner Female Practitioner

Dr. Vivien Rose Ebert , DMD

Dentist - General Practice • Fairfax, SC

Professional Overview & Biography Verified Profile Summary

Dr. Vivien Ebert, DMD is a registered healthcare professional specializing in Dentist - General Practice in Fairfax, SC. Practice services are available at 1987 ALLENDALE FAIRFAX HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1987 Allendale Fairfax Hwy

Fairfax, SC 29827

Telephone 8036323301
Associated Practice Facility / Clinic
🏢 Spencer B Wagner Dmd Pc Facility NPI 1205897378

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fairfax, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Fairfax, SC (1873 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License SC DGD.10864

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Robert Haberkorn , DDS, MBA

Dentist - General Practice

NPI 1497745012

Doctor of Dental Surgery, Master of Business Administration

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 23, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2024

Registered at 1987 ALLENDALE FAIRFAX HWY, FAIRFAX, SC 29827 (Tel: 8036323301)

📍
Updated Business Mailing Address July 23, 2024

Registered at 5 VILLAGE ROW UNIT 532, BEAUFORT, SC 299067509 (Tel: 4848663479)

👤
Provider Name / Credentials Updated July 23, 2024

Recorded as VIVIEN EBERT, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2024

Dentist (License #DGD.10864 in SC)

🟢
Initial NPI Registration & Enumeration July 23, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962230789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2024
Last Update: August 19, 2024
Sole Proprietor: Yes

Mailing Address

5 Village Row Unit 532

Beaufort, SC 299067509

Phone: 4848663479

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.