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

Dr. Russell Allen Boatwright Sr., DMD

Individual provider General Practice Dentistry · NPI 1174694004

Dr. Russell Allen Boatwright Sr., DMD is a General Practice Dentistry in Conway, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1603 10th Ave
Conway, SC 29526-4111
Phone: (843) 248-2705
Fax: (843) 248-4202
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2775 (SC)

Record details

NPI number1174694004
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESJuly 8, 2007

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