Charleston Periodonticspa

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

CHARLESTON PERIODONTICSPA

Practice address

1051 Gardner Rd
Suite a
Charleston, SC 29407-5747

Phone

(843) 766-7131

Fax

(843) 766-1839

NPI assigned

Feb 6, 2007

Last updated

May 2, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey J Laro, DMD MHSNPI 1134472426

Title

Periodontist

Phone

(843) 766-7131

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey J Laro, DMD, MHS

  • Periodontics
  • Charleston, SC
  • NPI 1134472426
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1003955659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 GARDNER RD",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075747",
            "telephone_number": "843-766-7131",
            "fax_number": "843-766-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 GARDNER RD",
            "address_2": "SUITE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075747",
            "telephone_number": "843-766-7131",
            "fax_number": "843-766-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON PERIODONTICSPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "LARO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "843-766-7131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MHS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charleston Pathology, P.a. (Coastal Pathology Laboratories)
• Charleston Pediatric Rehabilitation LLC
• Charleston Pediatric Rehabilitation LLC
• Charleston Pediatrics
• Charleston Pelvic Health
• Charleston Physical Medicine LLC (Charleston Neck and Back Center)
• Charleston Physical Therapy on-Site Partners, LLC
• Charleston Physical Therapy Practice PA
• Charleston Physicians for Women (Ashley River OBGYN)
• Charleston Physicians for Women, PLLC (Creekside Women's Care Physicians)

• Periodontics in Charleston, SC
• Providers in Charleston, SC by specialty
• Periodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.