Russell A. Boatwright, D.m.d., P.c. is a Dental Clinic in Conway, South Carolina. It is located at 1603 10th Ave, Conway, SC and its contact number is 843-248-2705. The authorized person for Russell A. Boatwright, D.m.d., P.c. is Dr. Russell A Boatwright Sr.
who is President of the clinic and their contact number is 843-248-2705. The primary license number for Russell A. Boatwright, D.m.d., P.c. is 2775 (General Practice) in South Carolina. Russell A. Boatwright, D.m.d., P.c. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Russell A. Boatwright, D.m.d., P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Russell A. Boatwright, D.m.d., P.c.
Specialization:
General Practice Dentistry
Clinic Address:
1603 10th Ave, Conway, South Carolina, 29526-4111
Phone:
843-248-2705
Fax:
843-248-4202
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Russell A Boatwright Sr.
Position:
President
Contact Number:
843-248-2705
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Russell A. Boatwright, D.m.d., P.c. clinic are as mentioned below.
NPI Number:
1114091600
NPI Enumeration Date:
17 Nov, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell A. Boatwright, D.m.d., P.c. are as mentioned below.
Specialization
License Number
State
Status
General Practice
2775
South Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
ZA9860
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Russell A. Boatwright, D.m.d., P.c. Po Box 1077, Conway, South Carolina
Zip:
29528-1077
Phone Number:
843-248-2705
Fax Number:
843-248-4202
Patients can reach Russell A. Boatwright, D.m.d., P.c. at 1603 10th Ave, Conway, South Carolina or can call to book an appointment on 843-248-2705. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.