DR. RUSSELL BOATWRIGHT SR., D.M.D.

Dentist - General Practice

Active Individual
NPI: 1174694004

Practice Address

1603 10TH AVE
Conway, SC 29526

Phone: (843) 248-2705

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 2775 (SC)

Frequently Asked Questions

NPI 1174694004 is the National Provider Identifier for DR. RUSSELL BOATWRIGHT SR., D.M.D., a Dentist - General Practice provider located in Conway, SC. This NPI was enumerated on November 13, 2006.
DR. RUSSELL BOATWRIGHT SR., D.M.D. practices at 1603 10TH AVE, Conway, SC 29526.

Quick Facts

NPI
1174694004
Type
Individual
Enumerated
Nov 13, 2006
Last Updated
Jul 8, 2007

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