Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Carolina Periodontics & Dental Implants

Organization Periodontics · NPI 1649725102

Carolina Periodontics & Dental Implants provides 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 Not confirmed with CMS for 10 years — call before visiting
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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