CHARLESTON PERIODONTICSPA is a periodontics dentist in Charleston, SC. The provider is 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. CHARLESTON PERIODONTICSPA NPI is 1003955659. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1051 GARDNER RD
SUITE A
CHARLESTON, SC
ZIP 29407-747
Phone: (843) 766-7131
Fax: (843) 766-1839
The provider's authorized official is Jeffrey J Laro .
The authorized official title is Periodontist and has the following contact phone number (843) 766-7131.
The enumeration date for this NPI number is 2/6/2007 and was last updated on 5/2/2011.