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CAROLINA FOREST PERIODONTICS, PA
NPI 1063639888
Dentist - Periodontics in Conway, SC

Active since April 20, 2007
1074 HIGHWAY 501 BUSINESS, CONWAY, SC 29526(843) 650-8000(843) 347-4920 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carolina Forest Periodontics, Pa NPPES

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

CAROLINA FOREST PERIODONTICS, PA (NPI 1063639888) is a healthcare organization registered as a periodontics in Conway, South Carolina and active in the NPI registry since April 2007. The organization lists Allen Rasheed, President, as its authorized official.

NPPES Registry Identity

NPI1063639888
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCAROLINA FOREST PERIODONTICS, PA
Location Address1074 HIGHWAY 501 BUSINESSConway, SC 29526-9588
Mailing Address1074 Highway 501 BusinessConway, SC 29526-9588 · (843) 650-8000 · Fax (843) 347-4920
Phone(843) 650-8000
Fax(843) 347-4920
Organization SubpartNo
Authorized OfficialAllen RasheedPresident · (843) 650-8000
Enumeration DateApril 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063639888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in SC · 2434
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.
1074 HIGHWAY 501 BUSINESS, Conway, SC 29526
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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

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 Carolina Forest Periodontics, PA's NPI number?

The NPI number for Carolina Forest Periodontics, PA is 1063639888. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Carolina Forest Periodontics, PA located?

Carolina Forest Periodontics, PA is located at 1074 Highway 501 Business, Conway, SC 29526. The listed phone number is (843) 650-8000.

What is Carolina Forest Periodontics, PA'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 Carolina Forest Periodontics, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.