OrganizationActive
Charleston Periodonticspa
NPI 1003955659 · Periodontics · Charleston, SC
Charleston Periodonticspa is a Periodontics organization in Charleston, SC (NPI 1003955659).
Provider details
- NPI number
- 1003955659
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Laro, Periodontist(843) 766-7131
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1051 Gardner Rd
Suite a
Charleston, SC 29407-5747
Phone: (843) 766-7131
Fax: (843) 766-1839
Street-level locationGet directions
Mailing address
1051 Gardner Rd
Charleston, SC 29407-5747
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2011-05-02
Frequently asked questions
- What is Charleston Periodonticspa's NPI number?
- Charleston Periodonticspa's National Provider Identifier (NPI) is 1003955659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charleston Periodonticspa?
- Charleston Periodonticspa is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Charleston Periodonticspa located?
- Charleston Periodonticspa's practice location on file with NPPES is 1051 Gardner Rd, Charleston, SC 29407-5747.
- What is Charleston Periodonticspa's phone number?
- The practice phone number listed in the NPPES registry for Charleston Periodonticspa is (843) 766-7131.
- Who is the authorized official for Charleston Periodonticspa?
- The authorized official listed on Charleston Periodonticspa's NPPES record is Jeffrey Laro, Periodontist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charleston Periodonticspa's NPI active?
- Yes — Charleston Periodonticspa's NPI (1003955659) is active in the NPPES registry as of the last update on 2011-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.