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Contact Information

CAROLINA PERIODONTICS & ENDODONTICS LLC
1033 BAYSHORE DR
SUITE A
ROCK HILL, SC29732-1569
 Phone: 803-327-4444
 Fax: 803-327-4443
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for CAROLINA PERIODONTICS & ENDODONTICS LLC

NPI # 1457666471
LBN Legal business name CAROLINA PERIODONTICS & ENDODONTICS LLC
Authorized official CHAD MATTHEWS - (PERIODONTIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/13/2010
Last updated 08/13/2010 - About 16 years ago
Identifiers
SC License # DENTAL: 4658
SC License # DENTAL: 4667
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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