RUSSELL A. BOATWRIGHT, D.M.D., P.C.
NPI 1114091600
Dentist - General Practice in Conway, SC

Q: What is Russell A. Boatwright, D.M.D., P.C.'s NPI number?

The NPI number for Russell A. Boatwright, D.M.D., P.C. is 1114091600. It was assigned to this organization in the NPPES registry on November 17, 2006.

Q: What is Russell A. Boatwright, D.M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since November 17, 2006

1603 10TH AVE, CONWAY, SC 29526(843) 248-2705(843) 248-4202 Get Directions Write a Review

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

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About Russell A. Boatwright, D.m.d., P.c. NPPES

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

RUSSELL A. BOATWRIGHT, D.M.D., P.C. (NPI 1114091600) is a healthcare organization registered as a general practice in Conway, South Carolina and active in the NPI registry since November 2006. The organization lists Russell A Boatwright, President, as its authorized official.

NPPES Registry Identity

NPI1114091600

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameRUSSELL A. BOATWRIGHT, D.M.D., P.C.

Location Address1603 10TH AVEConway, SC 29526-4111

Mailing AddressPo Box 1077Conway, SC 29528-1077 · (843) 248-2705 · Fax (843) 248-4202

Phone(843) 248-2705

Fax(843) 248-4202

Organization SubpartNo

Authorized OfficialRussell A BoatwrightPresident · (843) 248-2705

Enumeration DateNovember 17, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1114091600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SC · 2775

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1603 10TH AVE, Conway, SC 29526

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Other Identifiers 1

MedicaidZA9860SC

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

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

DR. RUSSELL ALLEN BOATWRIGHT SR. D.M.D.

Dentist (General Practice)

1603 10TH AVE
CONWAY, SC 29526

Horry County (843) 248-2705

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 Russell A. Boatwright, D.M.D., P.C.'s NPI number?

The NPI number for Russell A. Boatwright, D.M.D., P.C. is 1114091600. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Russell A. Boatwright, D.M.D., P.C. located?

Russell A. Boatwright, D.M.D., P.C. is located at 1603 10th Ave, Conway, SC 29526. The listed phone number is (843) 248-2705.

What is Russell A. Boatwright, D.M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Russell A. Boatwright, D.M.D., P.C. 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.