SANDHILLS PERIODONTICS NPI 1053800623

NPI Information

SANDHILLS PERIODONTICS 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. SANDHILLS PERIODONTICS NPI is 1053800623. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

456 CLEMSON RD
COLUMBIA, SC
ZIP 29229-925
Phone: (803) 788-9715
Fax: (803) 788-9705

The provider's authorized official is Sohee K Park .
The authorized official title is Owner and has the following contact phone number (803) 788-9715.

The enumeration date for this NPI number is 5/9/2018 and was last updated on 3/27/2019.

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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