institution
Russell A. Boatwright, D.m.d., P.c.
General Practice Dentistry in Conway, South Carolina
NPI 1114091600

Russell A. Boatwright, D.m.d., P.c. is a General Practice Dentistry based in Conway, SC and is specialized in General Practice. Russell A. Boatwright, D.m.d., P.c. practices in Conway, SC. The NPI Number for Russell A. Boatwright, D.m.d., P.c. is 1114091600 and holds a License No. 2775 (South Carolina).

The current practice location address for Russell A. Boatwright, D.m.d., P.c. is 1603 10Th Ave, Conway, SC and can be reached out via phone at 843-248-2705 and via fax at 843-248-4202. You can also correspond with Russell A. Boatwright, D.m.d., P.c. through the mailing address at PO BOX 1077, CONWAY, SC - 29528-1077 (mailing address contact number: 843-248-2705).

Location: 1603 10Th Ave, Conway, SC, 29528-1077
institution
Provider Profile Details
NPI Number
1114091600
Provider Name
Russell A. Boatwright, D.m.d., P.c.
Credential
Provider Entity Type
Organization
Address
1603 10Th Ave, Conway, SC, 29528-1077
Phone Number
843-248-2705
Fax Number
843-248-4202
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZA9860 05 SC
institution
Provider Business Practice Location Address Details
Address
1603 10Th Ave
City
State
Zip
29526-4111
Phone Number
843-248-2705
Fax Number
843-248-4202
person
Provider Business Mailing Address Details
Address
1603 10Th Ave
City
State
Zip
29526-4111
Phone Number
843-248-2705
Fax Number
843-248-4202
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
2775 (South Carolina)
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.
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