OrganizationActive
Southeast Endodontics, PC
NPI 1902019722 · Endodontics · Charleston, SC
Southeast Endodontics, PC is a Endodontics organization in Charleston, SC (NPI 1902019722).
Provider details
- NPI number
- 1902019722
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Walter Long, Owner(843) 766-0112
- License
- 3707 (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
10 Farmfield Ave
Charleston, SC 29407-7756
Phone: (843) 766-0112
Fax: (843) 766-0884
Street-level locationGet directions
Mailing address
10 E Farmfield Avenue
Charleston, SC 29407
Registry dates
- Enumerated
- 2007-05-08
- Last updated
- 2020-08-22
Frequently asked questions
- What is Southeast Endodontics, PC's NPI number?
- Southeast Endodontics, PC's National Provider Identifier (NPI) is 1902019722, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Endodontics, PC?
- Southeast Endodontics, PC is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Southeast Endodontics, PC located?
- Southeast Endodontics, PC's practice location on file with NPPES is 10 Farmfield Ave, Charleston, SC 29407-7756.
- What is Southeast Endodontics, PC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Endodontics, PC is (843) 766-0112.
- Who is the authorized official for Southeast Endodontics, PC?
- The authorized official listed on Southeast Endodontics, PC's NPPES record is Walter Long, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Endodontics, PC's NPI active?
- Yes — Southeast Endodontics, PC's NPI (1902019722) 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.