1. Home
  2. Directory
  3. South Carolina
  4. Orangeburg
  5. Dentist
  6. NPI Profile

CENTRAL CAROLINA ENDODONTICS PA
NPI 1710442967
Dentist - Endodontics in Orangeburg, SC

Active since February 01, 2019
888 COOK ROAD, ORANGEBURG, SC 29118(803) 516-0777(803) 516-0577 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Central Carolina Endodontics Pa NPPES

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

CENTRAL CAROLINA ENDODONTICS PA (NPI 1710442967) is a healthcare organization registered as an endodontics in Orangeburg, South Carolina and active in the NPI registry since February 2019. The organization lists Joseph Davin Bonavilla, President, as its authorized official.

NPPES Registry Identity

NPI1710442967
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameCENTRAL CAROLINA ENDODONTICS PA
Location Address888 COOK ROADOrangeburg, SC 29118
Mailing Address888 Cook RoadOrangeburg, SC 29118 · (803) 516-0777 · Fax (803) 516-0577
Phone(803) 516-0777
Fax(803) 516-0577
Organization SubpartNo
Authorized OfficialJoseph Davin BonavillaPresident · (803) 516-0777
Enumeration DateFebruary 1, 2019
✔ NPI 1710442967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
888 COOK ROAD, Orangeburg, SC 29118
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

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 Central Carolina Endodontics PA's NPI number?

The NPI number for Central Carolina Endodontics PA is 1710442967. It was assigned to this organization in the NPPES registry on February 1, 2019.

Where is Central Carolina Endodontics PA located?

Central Carolina Endodontics PA is located at 888 Cook Road, Orangeburg, SC 29118. The listed phone number is (803) 516-0777.

What is Central Carolina Endodontics PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Central Carolina Endodontics PA accept?

Health plans from BlueCross BlueShield of South Carolina list Central Carolina Endodontics PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Central Carolina Endodontics PA was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.