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CHARLESTON PERIODONTICSPA
NPI 1003955659
Dentist - Periodontics in Charleston, SC

Active since February 06, 2007
1051 GARDNER RD, SUITE A, CHARLESTON, SC 29407(843) 766-7131(843) 766-1839 Get Directions Write a Review

NPPES record last updated: May 2, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charleston Periodonticspa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLESTON PERIODONTICSPA (NPI 1003955659) is a healthcare organization registered as a periodontics in Charleston, South Carolina and active in the NPI registry since February 2007. The organization lists Jeffrey J Laro, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1003955659
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCHARLESTON PERIODONTICSPA
Location Address1051 GARDNER RD, SUITE ACharleston, SC 29407-5747
Mailing Address1051 Gardner Rd, Suite ACharleston, SC 29407-5747 · (843) 766-7131 · Fax (843) 766-1839
Phone(843) 766-7131
Fax(843) 766-1839
Organization SubpartNo
Authorized OfficialJeffrey J LaroPeriodontist · (843) 766-7131
Enumeration DateFebruary 6, 2007
Last NPPES UpdateMay 2, 2011
✔ NPI 1003955659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
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 structures and tissues.

1051 GARDNER RD, Charleston, SC 29407
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROY EDWARD HUDGENS III D.M.D.
Dentist (General Practice)
1051 GARDNER RD, SUITE C
CHARLESTON, SC 29407
Charleston County (843) 556-7437
DR. DEBORAH DENISE STONE DMD
Dentist
1051 GARDNER RD, SUITE D
CHARLESTON, SC 29407
Charleston County (843) 556-6566
DR. MARGARET E ALDERMAN DMD
Dentist (General Practice)
1051 GARDNER RD, STE D
CHARLESTON, SC 29407
Charleston County (843) 556-6566
STONE FAMILY DENTISTRY
Dentist
1051 GARDNER RD, SUITE D
CHARLESTON, SC 29407
Charleston County (843) 556-6566
DR. DAVID WASHINGTON STONE JR. DDS
Dentist
1051 GARDNER RD, SUITE D
CHARLESTON, SC 29407
Charleston County (843) 556-6566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charleston Periodonticspa's NPI number?

The NPI number for Charleston Periodonticspa is 1003955659. It was assigned to this organization in the NPPES registry on February 6, 2007.

Where is Charleston Periodonticspa located?

Charleston Periodonticspa is located at 1051 Gardner Rd Suite A, Charleston, SC 29407. The listed phone number is (843) 766-7131.

What is Charleston Periodonticspa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Charleston Periodonticspa was last updated on May 2, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.