Organization
CAROLINA PERIODONTICS & ENDODONTICS LLC
Active
Other names
Palmetto Dental Specialists LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD ROBERT MATTHEWS DMD (PERIODONTIST/OWNER)
(803) 579-0026
Entity
Organization
Contact information
Practice address
1033 BAYSHORE DR, SUITE A, ROCK HILL, SC 29732-1569
(803) 327-4444
(803) 327-4443
Mailing address
1033 BAYSHORE DR, SUITE A, ROCK HILL, SC 29732-1569
(803) 327-4444
(803) 327-4443
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DENTAL: 4658
SC
1223P0300X
Periodontics
DENTAL: 4667
SC
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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