| Periocare Llc | |
|
3070 N Highway 17 Ste 202 Mt Pleasant SC 29466-9300 | |
| (843) 650-7171 | |
| Not Available |
| Full Name | Periocare Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3070 N Highway 17 Ste 202, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Neda Azadivatan (OWNER/DENTIST) |
| Authorized Official Contact | 8436507171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periocare Llc 3070 N Highway 17 Ste 202 Mt Pleasant SC 29466-9300 Ph: () - | Periocare Llc 3070 N Highway 17 Ste 202 Mt Pleasant SC 29466-9300 Ph: (843) 650-7171 |
| NPI Number | 1043192057 |
|---|---|
| Provider Enumeration Date | 07/22/2025 |
| Last Update Date | 07/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043192057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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