NPI 1063639888

Carolina Forest Periodontics, PA

Organisation Periodontics Conway, SC

Practice location

Address: 1074 Highway 501 Business, Conway, SC 29526-9588
Phone: (843) 650-8000
Fax: (843) 347-4920

Authorised official

Name: Allen Rasheed
Title: President
Phone: (843) 650-8000

Registered specialties

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence 2434 (SC)

Other Dentist providers in South Carolina →

Registry record

NPI: 1063639888
Entity type: Organization
NPI issued: 20 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.