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

Charleston Periodonticspa

Organization Periodontics · NPI 1003955659

Charleston Periodonticspa is a Periodontics in Charleston, South Carolina. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1051 Gardner Rd Ste A
Charleston, SC 29407-5747
Phone: (843) 766-7131
Fax: (843) 766-1839
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1003955659
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Laro — Periodontist · (843) 766-7131
NPI enumeratedFebruary 6, 2007
Last updated in NPPESMay 2, 2011
Mailing address1051 Gardner Rd, Suite A, Charleston, SC 29407-5747

Other providers in Charleston