Russell A. Boatwright, D.m.d., P.c.
NPI #1114091600 in Conway, South Carolina
Provider Information
- NPI Number
- 1114091600
- Entity Type
- Organization
- Organization Name
- Russell A. Boatwright, D.m.d., P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 17, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1603 10TH AVE
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29526-4111
- Phone
- (843) 248-2705
Authorized Official
- Name
- DR. RUSSELL A BOATWRIGHT SR., D.M.D.
- Title
- PRESIDENT
- Phone
- (843) 248-2705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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