1. Home
  2. Directory
  3. South Carolina
  4. Charleston
  5. Dentist
  6. NPI Profile

PERIODONTAL ASSOCIATES LLC
NPI 1013288786
Dentist - Periodontics in Charleston, SC

Active since January 26, 2012
33 GAMECOCK AVE STE A, CHARLESTON, SC 29407(843) 571-0853(843) 769-7342 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Periodontal Associates Llc NPPES

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

PERIODONTAL ASSOCIATES LLC (NPI 1013288786) is a healthcare organization registered as a periodontics in Charleston, South Carolina and active in the NPI registry since January 2012. The organization lists Edward Thomas Murphy, Member, as its authorized official.

NPPES Registry Identity

NPI1013288786
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL ASSOCIATES LLC
Location Address33 GAMECOCK AVE STE ACharleston, SC 29407-3397
Mailing Address33 Gamecock Ave Ste ACharleston, SC 29407-3397 · (843) 571-0853 · Fax (843) 769-7342
Phone(843) 571-0853
Fax(843) 769-7342
Organization SubpartNo
Authorized OfficialEdward Thomas MurphyMember · (843) 571-0853
Enumeration DateJanuary 26, 2012
✔ NPI 1013288786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in SC · 3981✔ Licensed in SC · 1487✔ Licensed in SC · 3204
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.
33 GAMECOCK AVE STE A, Charleston, SC 29407
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Periodontal Associates LLC's NPI number?

The NPI number for Periodontal Associates LLC is 1013288786. It was assigned to this organization in the NPPES registry on January 26, 2012.

Where is Periodontal Associates LLC located?

Periodontal Associates LLC is located at 33 Gamecock Ave Ste A, Charleston, SC 29407. The listed phone number is (843) 571-0853.

What is Periodontal Associates LLC'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 Periodontal Associates LLC was last updated on January 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.