Dr. Russell Allen Boatwright Sr. is a Conway, South Carolina based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Russell Allen Boatwright Sr. is 2775 for General Practice Dentistry in South Carolina. His current practice location is 1603 10th Ave, Conway. Patients can reach him at 843-248-2705.
Dr. Russell Allen Boatwright Sr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Russell Allen Boatwright Sr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Russell Allen Boatwright Sr.
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D.
Accepts Medicare Assignment:
No
Practice Address:
1603 10th Ave, Conway, South Carolina, 29526-4111
Phone:
843-248-2705
Fax:
843-248-4202
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 are as mentioned below.
NPI Number:
1174694004
NPI Enumeration Date:
13 Nov, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Russell Allen Boatwright Sr. are as mentioned below.
License Number
Specialization
State
Status
2775
General Practice Dentistry
South Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Russell Allen Boatwright Sr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
Z27757
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:
Po Box 1077, Conway, South Carolina
Zip:
29528-1077
Phone Number:
843-248-2705
Fax Number:
843-248-4202
Patients can reach Dr. Russell Allen Boatwright Sr. 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.