PERIOCARE LLC
NPI 1043192057
Dentist - Periodontics in Mt Pleasant, SC

Q: What is Periocare LLC's NPI number?

The NPI number for Periocare LLC is 1043192057. It was assigned to this organization in the NPPES registry on July 22, 2025.

Q: What is Periocare LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Periocare LLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since July 22, 2025

3070 N HIGHWAY 17 STE 202, MT PLEASANT, SC 29466(843) 650-7171 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Periocare Llc NPPES

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

PERIOCARE LLC (NPI 1043192057) is a healthcare organization registered as a periodontics in Mt Pleasant, South Carolina and active in the NPI registry since July 2025. The organization lists Neda Azadivatan, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1043192057

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NamePERIOCARE LLC

Location Address3070 N HIGHWAY 17 STE 202Mt Pleasant, SC 29466-9300

Mailing Address3070 N Highway 17 Ste 202Mt Pleasant, SC 29466-9300

Phone(843) 650-7171

Organization SubpartNo

Authorized OfficialNeda AzadivatanOwner/dentist · (843) 650-7171

Enumeration DateJuly 22, 2025

NPPES CertifiedJuly 22, 2025

✔ NPI 1043192057 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.

3070 N HIGHWAY 17 STE 202, Mt Pleasant, SC 29466

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 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 Periocare LLC's NPI number?

The NPI number for Periocare LLC is 1043192057. It was assigned to this organization in the NPPES registry on July 22, 2025.

Where is Periocare LLC located?

Periocare LLC is located at 3070 N Highway 17 Ste 202, Mt Pleasant, SC 29466. The listed phone number is (843) 650-7171.

What is Periocare 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 Periocare LLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.