OrganizationActive
Carolina Forest Periodontics, PA
NPI 1063639888 · Periodontics · Conway, SC
Carolina Forest Periodontics, PA is a Periodontics organization in Conway, SC (NPI 1063639888).
Provider details
- NPI number
- 1063639888
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Allen Rasheed, President(843) 650-8000
- License
- 2434 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 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
1074 Highway 501 Business
Conway, SC 29526-9588
Phone: (843) 650-8000
Fax: (843) 347-4920
Street-level locationGet directions
Mailing address
1074 Highway 501 Business
Conway, SC 29526-9588
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Carolina Forest Periodontics, PA's NPI number?
- Carolina Forest Periodontics, PA's National Provider Identifier (NPI) is 1063639888, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carolina Forest Periodontics, PA?
- Carolina Forest Periodontics, PA is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Carolina Forest Periodontics, PA located?
- Carolina Forest Periodontics, PA's practice location on file with NPPES is 1074 Highway 501 Business, Conway, SC 29526-9588.
- What is Carolina Forest Periodontics, PA's phone number?
- The practice phone number listed in the NPPES registry for Carolina Forest Periodontics, PA is (843) 650-8000.
- Who is the authorized official for Carolina Forest Periodontics, PA?
- The authorized official listed on Carolina Forest Periodontics, PA's NPPES record is Allen Rasheed, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Carolina Forest Periodontics, PA's NPI active?
- Yes — Carolina Forest Periodontics, PA's NPI (1063639888) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.