OrganizationActive
Russell A. Boatwright, D.M.D., P.C.
NPI 1114091600 · General Practice Dentistry · Conway, SC
Russell A. Boatwright, D.M.D., P.C. is a General Practice Dentistry organization in Conway, SC (NPI 1114091600).
Provider details
- NPI number
- 1114091600
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Russell Boatwright, President(843) 248-2705
- License
- 2775 (SC)
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
1603 10th Ave
Conway, SC 29526-4111
Phone: (843) 248-2705
Fax: (843) 248-4202
Street-level locationGet directions
Mailing address
Po Box 1077
Conway, SC 29528-1077
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2020-08-22
Frequently asked questions
- What is Russell A. Boatwright, D.M.D., P.C.'s NPI number?
- Russell A. Boatwright, D.M.D., P.C.'s National Provider Identifier (NPI) is 1114091600, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Russell A. Boatwright, D.M.D., P.C.?
- Russell A. Boatwright, D.M.D., P.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Russell A. Boatwright, D.M.D., P.C. located?
- Russell A. Boatwright, D.M.D., P.C.'s practice location on file with NPPES is 1603 10th Ave, Conway, SC 29526-4111.
- What is Russell A. Boatwright, D.M.D., P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Russell A. Boatwright, D.M.D., P.C. is (843) 248-2705.
- Who is the authorized official for Russell A. Boatwright, D.M.D., P.C.?
- The authorized official listed on Russell A. Boatwright, D.M.D., P.C.'s NPPES record is Russell Boatwright, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Russell A. Boatwright, D.M.D., P.C.'s NPI active?
- Yes — Russell A. Boatwright, D.M.D., P.C.'s NPI (1114091600) 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.