Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolina Forest Periodontics, PA

Organization Periodontics · NPI 1063639888

Carolina Forest Periodontics, PA is a Periodontics in Conway, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1074 Highway 501 Business
Conway, SC 29526-9588
Phone: (843) 650-8000
Fax: (843) 347-4920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 2434 (SC)

Record details

NPI number1063639888
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allen Rasheed — President · (843) 650-8000
NPI enumeratedApril 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1074 Highway 501 Business, Conway, SC 29526-9588