DR. RUSSELL ALLEN BOATWRIGHT SR. D.M.D.
NPI 1174694004
Dentist - General Practice in Conway, SC

Active since November 13, 2006
1603 10TH AVE, CONWAY, SC 29526(843) 248-2705(843) 248-4202 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Russell Allen Boatwright Sr. D.m.d. NPPES

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

DR. RUSSELL ALLEN BOATWRIGHT SR. D.M.D. (NPI 1174694004) is an individual general practice provider in Conway, South Carolina, licensed in South Carolina (2775) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1174694004
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RUSSELL ALLEN BOATWRIGHT SR.Credential: D.M.D.
Location Address1603 10TH AVEConway, SC 29526-4111
Mailing AddressPo Box 1077Conway, SC 29528-1077 · (843) 248-2705 · Fax (843) 248-4202
Fax(843) 248-4202
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1174694004 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

Other Identifiers 1

MedicaidZ27757SC

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
1603 10TH AVE
CONWAY, SC 29526

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 Boatwright's NPI number?

The NPI number for Russell Boatwright is 1174694004. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Russell Boatwright located?

Russell Boatwright practices at 1603 10th Ave, Conway, SC 29526. The listed phone number is (843) 248-2705.

What is Russell Boatwright'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 Boatwright was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.