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

Carolina Periodontics & Dental Implants

Organization Periodontics · NPI 1649725102

Carolina Periodontics & Dental Implants is a Periodontics in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2016.

Licensed in
SC
In the registry since
2016

Practice location Address checks out

112 W Broad St Unit 405
Greenville, SC 29601-2688
Phone: (480) 289-0507
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 8638 (SC)

Record details

NPI number1649725102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawna Baxter — Periodontist/Owner · (480) 289-0507
NPI enumeratedAugust 24, 2016
Last updated in NPPESAugust 24, 2016
Mailing address112 W Broad St Unit 405, Greenville, SC 29601-2688

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