Periocare LLC
NPI #1043192057 in Mt Pleasant, South Carolina
Provider Information
- NPI Number
- 1043192057
- Entity Type
- Organization
- Organization Name
- Periocare LLC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Jul 22, 2025
- Last Updated
- Jul 22, 2025
Practice Location
- Address
- 3070 N HIGHWAY 17 STE 202
- City
- Mt Pleasant
- State
- South Carolina
- ZIP Code
- 29466-9300
- Phone
- (843) 650-7171
Authorized Official
- Name
- DR. NEDA AZADIVATAN, DDS
- Title
- OWNER/DENTIST
- Phone
- (843) 650-7171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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