SUNSET PERIODONTICS LLC NPI 1598142341

NPI Information

SUNSET PERIODONTICS, LLC is a periodontics dentist in West Columbia, SC. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. SUNSET PERIODONTICS, LLC NPI is 1598142341. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

159 MEDICAL CIR
WEST COLUMBIA, SC
ZIP 29169-655
Phone: (803) 794-7520

The provider's authorized official is Travis Wayne Mize .
The authorized official title is Owner and has the following contact phone number (317) 345-3113.

The enumeration date for this NPI number is 4/30/2015 and was last updated on 6/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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