Organization · Type 2 NPI

Charleston Periodonticspa

Periodontics · Charleston, SC

NPI number 1003955659 Active

Practice location

1051 Gardner Rd, Suite A
Charleston, SC 29407-5747

Fax (843) 766-1839

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone listed

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1003955659

Charleston Periodonticspa's National Provider Identifier is 1003955659, issued on Feb 6, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Charleston, SC. The record was last updated on May 2, 2011.