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Dr. Russell Allen Boatwright SR., DMD
General Practice Dentistry in Conway, South Carolina
NPI 1174694004

Russell Allen Boatwright SR. is a General Practice Dentistry based in Conway, SC and is specialized in General Practice. Russell Allen Boatwright SR. practices in Conway, SC and has the professional credentials of DMD. The NPI Number for Russell Allen Boatwright SR. is 1174694004 and holds a License No. 2775 (South Carolina).

The current practice location address for Russell Allen Boatwright SR. is 1603 10Th Ave, Conway, SC and can be reached out via phone at 843-248-2705 and via fax at 843-248-4202.

Location: 1603 10Th Ave, Conway, SC, 29528-1077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174694004
Provider Name
Russell Allen Boatwright SR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1603 10Th Ave, Conway, SC, 29528-1077
Phone Number
843-248-2705
Fax Number
843-248-4202
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z27757 05 SC
institution
Provider Business Practice Location Address Details
Address
1603 10Th Ave
City
Conway
State
South Carolina
Zip
29526-4111
Phone Number
843-248-2705
Fax Number
843-248-4202
person
Provider Business Mailing Address Details
Address
1603 10Th Ave
City
Conway
State
South Carolina
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
1223G0001X
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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