SOUTH CAROLINA PERIODONTOLOGY PA NPI 1598856353

NPI Information

SOUTH CAROLINA PERIODONTOLOGY PA is a periodontics dentist in 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. SOUTH CAROLINA PERIODONTOLOGY PA NPI is 1598856353. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2120 N BELTLINE BOULEVARD
COLUMBIA, SC
ZIP 29204-905
Phone: (803) 782-0528
Fax: (803) 782-1036

The provider's authorized official is William Cleveland James .
The authorized official title is Owner and has the following contact phone number (803) 782-0528.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 8/22/2020.

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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