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CAROLINA PERIODONTICS & ENDODONTICS LLC NPI 1457666471


NPI Information

NPI: 1457666471
Provider Name: CAROLINA PERIODONTICS & ENDODONTICS LLC

Former Legal Business Name: PALMETTO DENTAL SPECIALISTS LLC

Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
1033 BAYSHORE DR
SUITE A
ROCK HILL, SC
ZIP 29732
Phone: (803) 327-4444
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CAROLINA PERIODONTICS & ENDODONTICS LLC is an endodontics dentist in Rock Hill, SC. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. CAROLINA PERIODONTICS & ENDODONTICS LLC NPI is 1457666471. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Palmetto Dental Specialists Llc.

The provider's business location address is:

1033 BAYSHORE DR
SUITE A
ROCK HILL, SC
ZIP 29732-569
Phone: (803) 327-4444
Fax: (803) 327-4443

The provider's authorized official is Chad Robert Matthews .
The authorized official title is Periodontist/owner and has the following contact phone number (803) 579-0026.

The enumeration date for this NPI number is 8/13/2010 and was last updated on 8/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodonticsDENTAL: 4667SOUTH CAROLINANo
21223E0200XDentistEndodonticsDENTAL: 4658SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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