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CAROLINA PERIODONTICS & DENTAL IMPLANTS
NPI 1649725102
Dentist - Periodontics in Greenville, SC

Active since August 24, 2016
112 W BROAD ST UNIT 405, GREENVILLE, SC 29601(480) 289-0507 Get Directions Write a Review

NPPES record last updated: August 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carolina Periodontics & Dental Implants NPPES

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

CAROLINA PERIODONTICS & DENTAL IMPLANTS (NPI 1649725102) is a healthcare organization registered as a periodontics in Greenville, South Carolina and active in the NPI registry since August 2016. The organization lists Shawna Baxter, Periodontist/owner, as its authorized official.

NPPES Registry Identity

NPI1649725102
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCAROLINA PERIODONTICS & DENTAL IMPLANTS
Location Address112 W BROAD ST UNIT 405Greenville, SC 29601-2688
Mailing Address112 W Broad St Unit 405Greenville, SC 29601-2688
Phone(480) 289-0507
Organization SubpartNo
Authorized OfficialShawna BaxterPeriodontist/owner · (480) 289-0507
Enumeration DateAugust 24, 2016
✔ NPI 1649725102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in SC · 8638
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.

112 W BROAD ST UNIT 405, Greenville, SC 29601
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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 Periodontics & Dental Implants's NPI number?

The NPI number for Carolina Periodontics & Dental Implants is 1649725102. It was assigned to this organization in the NPPES registry on August 24, 2016.

Where is Carolina Periodontics & Dental Implants located?

Carolina Periodontics & Dental Implants is located at 112 W Broad St Unit 405, Greenville, SC 29601. The listed phone number is (480) 289-0507.

What is Carolina Periodontics & Dental Implants'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 Periodontics & Dental Implants was last updated on August 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.