Organization · Type 2 NPI

Periodontal Associates LLC

Periodontics · Charleston, SC

NPI number 1013288786 Active

Practice location

33 Gamecock Ave Ste A
Charleston, SC 29407-3397

Fax (843) 769-7342

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300X1487 (SC)
Periodontics 1223P0300X3204 (SC)
Periodontics Primary 1223P0300X3981 (SC)

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 1013288786

Periodontal Associates LLC's National Provider Identifier is 1013288786, issued on Jan 26, 2012. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Charleston, SC. The record was last updated on Jan 26, 2012.