Provider Demographics
NPI:1447260443
Name:FLOWERS, CHARLES ELY (DMD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:ELY
Last Name:FLOWERS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7007-A BROOKFIELD ROAD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223
Mailing Address - Country:US
Mailing Address - Phone:803-787-6646
Mailing Address - Fax:803-736-2891
Practice Address - Street 1:7007-A BROOKFIELD ROAD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223
Practice Address - Country:US
Practice Address - Phone:803-787-6646
Practice Address - Fax:803-736-2891
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2024122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist