CAROLINA PERIODONTICS & ENDODONTICS LLC (NPI# 1457666471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457666471 |
| Entity Type | Organization |
| Organization Name | CAROLINA PERIODONTICS & ENDODONTICS LLC |
| Other Organization Name | PALMETTO DENTAL SPECIALISTS LLC |
| Practice Address |
1033 Bayshore Dr Suite A Rock Hill SC 29732-1569 |
| Practice Telephone | 8033274444 |
| Practice Fax Number | 8033274443 |
| Mailing Telephone | 8033274444 |
| Mailing Fax Number | 8033274443 |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-08-13 |
| Authorized Official Name | DR. CHAD ROBERT MATTHEWS (PERIODONTIST/OWNER) |
| Authorized Official Telephone | 8035790026 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
DENTAL: 4667 | SC | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DENTAL: 4658 | SC | Dental Providers |
| Other Name | Type Code |
|---|---|
| Palmetto Dental Specialists LLC | Former Legal Business Name - Organization |
| Street Address |
1033 BAYSHORE DR SUITE A |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29732-1569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174648505 | Goodwin G. Thomas, Jr., D.m.d., P.a. | Dentist | 1033 Bayshore Dr, Rock Hill, SC 29732-1569 | 2007-03-21 |
| 1528219193 | Rachel Elizabeth Matthews | Dentist | 1033 Bayshore Dr, Suite A, Rock Hill, SC 29732-1569 | 2008-10-01 |
| 1942486287 | Thomas & Leitner Orthodontics LLC | Dentist | 1033 Bayshore Dr, Rock Hill, SC 29732-1569 | 2008-01-17 |
| 1225231228 | Chad Robert Matthews | Dentist | 1033 Bayshore Dr, Suite A, Rock Hill, SC 29732-1569 | 2007-06-07 |
| 1578688966 | Goodwin G Thomas Jr. | Dentist | 1033 Bayshore Dr, Rock Hill, SC 29732-1569 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659471 | Jessie M. Armstrong | Counselor | 199 S Herlong Avenue, Rock Hill, SC 29732 | 2019-10-07 |
| 1215407861 | Alicia Johnson | Occupational Therapist | 2025 Ebenezer Rd Suite H, Rock Hill, SC 29732 | 2018-11-27 |
| 1346716909 | Leslie Marie Metzler | Nurse Practitioner | 125 Amendment Ave, Rock Hill, SC 29732 | 2018-10-22 |
| 1356824668 | Laurie E Grove | Counselor | 508 Bethel Street, Clover, SC 29732 | 2018-09-12 |
| 1366924441 | Chinyere Gill-smith | Occupational Therapist | 2390 127 Murrah Drive, Rock Hill, SC 29732 | 2018-09-05 |
| 1053825513 | Community Medicine Foundation Inc | Clinic/Center | 205 Piedmont Blvd. Suite 100, Catawba Community Mental Health Services York Adult Ser, Rock Hill, SC 29732 | 2017-11-20 |
| 1952824906 | Miriam George-norman | Occupational Therapist | 831 Mcdow Drive, Rock Hill, SC 29732 | 2017-07-21 |
| 1255854550 | Courtney Costa | Counselor | 199 S. Herlong Avenue, Rock Hill, NC 29732 | 2017-07-19 |
| 1861913022 | Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco Pa | Oral & Maxillofacial Surgery | 1761 Ebenezer Road, Rock Hill, SC 29732 | 2017-06-28 |
| 1396275806 | Chrysalis Autism Center, Inc | Assistant Behavior Analyst | 1547 Cherry Rd, Rock Hill, SC 29732 | 2017-06-16 |
| Find all providers in zip 29732 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972679405 | John W Floren | Dentist | 1307 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2006-11-27 |
| 1871679852 | Noel Phillips Fuller | Dentist | 1380 Ebenezer Rd, Rock Hill, SC 29732 | 2006-10-31 |
| 1952685810 | Kool Smiles Sc-2, PC | Dentist | 2349 Cherry Rd, Rock Hill, SC 29732-3169 | 2011-10-10 |
| 1528219193 | Rachel Elizabeth Matthews | Dentist | 1033 Bayshore Dr, Suite A, Rock Hill, SC 29732-1569 | 2008-10-01 |
| 1356554208 | John W Floren Dmd Pa | Dentist | 1307 Ebenezer Rd, Rock Hill, SC 29732-2336 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1568775468 | Kool Smiles Sc-2, PC | Dentist | 5422 Forest Dr, Columbia, SC 29206-5412 | 2010-07-20 |
| 1992018899 | Kool Smiles Sc-2, PC | Dentist | 4400 Dorchester Rd Ste 108, Charleston, SC 29405-6863 | 2010-07-20 |
| 1912230335 | Omar James Jones IIi | Dentist | 237 Plantation Dr, Manning, SC 29102-9504 | 2009-09-16 |
| 1972733624 | Robert P Bethea | Dentist | 34 Lakeview Cir, Columbia, SC 29206-3214 | 2009-07-15 |
| 1295975977 | Jason H. Cohen, Dmd, LLC | Dentist | 198 Rutledge Ave Ste 3, Charleston, SC 29403-5834 | 2009-02-20 |
| 1508029554 | Gavin L Criser | Dentist | 220 Cherokee Rd Ste B, Florence, SC 29501-5225 | 2008-07-09 |
| 1912188525 | Michael Eugene Piepenbring | Dentist | 1109 Memorial Ln Ste B, Georgetown, SC 29440-3369 | 2007-11-26 |
| 1962600437 | Michael John Pfister | Dentist | 101 Finley St, Clemson, SC 29631-1583 | 2007-07-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.