Charleston Periodonticspa in Charleston - Periodontics
Charleston Periodonticspa - NPI 1003955659
Charleston Periodonticspa is a Periodontics in Charleston, South Carolina. Charleston Periodonticspa practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Charleston Periodonticspa is 1003955659. The last update date is 2011-05-02.
Charleston Periodonticspa's current location address is 1051 Gardner Rd, Charleston, South Carolina. You can contact this provider via phone number 8437667131 and fax number 8437661839. The mailing address for Charleston Periodonticspa is 1051 Gardner Rd, Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charleston Periodonticspa |
|---|---|
| Address | 1051 Gardner Rd, Charleston, South Carolina |
| Phone Number | 8437667131 |
| Fax Number | 8437661839 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PERIODONTI |
|---|---|
| Authorized Official Name | Laro J Jeffrey |
| Credentials | DMD MHS |
| Telephone Number | 8437667131 |
NPI Number Detail
| NPI Number | 1003955659 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2011-05-02 |
Provider Mailing Address Detail
| Address | 1051 Gardner Rd |
|---|---|
| City | Charleston |
| State | South Carolina (SC) |
| Post Code | 294075747 |
| Phone Number | 8437667131 |
| Fax Number | 8437661839 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
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Definition: 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 structure |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charleston Periodonticspa by the Centers for Medicare & Medicaid Services?
The Charleston Periodonticspa has been issued the NPI (National Provider Identifier) 1003955659, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Charleston Periodonticspa's physical address?
The Charleston Periodonticspa is physically located at 1051 Gardner Rd, in the city of Charleston, SC, with the postal code 294075747.
What is Charleston Periodonticspa's area of expertise and its corresponding taxonomy classification?
The Charleston Periodonticspa's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1003955659 to Charleston Periodonticspa?
The Centers for Medicare & Medicaid Services assigned the 1003955659 to Charleston Periodonticspa on 2007-02-06.
As of what date was the information pertaining to Charleston Periodonticspa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charleston Periodonticspa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-05-02.