PALMETTO PERIODONTICS LLC NPI 1174396105

NPI Information

  • NPI: 1174396105
  • Provider Name: PALMETTO PERIODONTICS LLC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • :
  • Address: 124 ALPINE CIR
    COLUMBIA, SC
    ZIP 29223
  • Phone: (803) 788-0900

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NPI Details

PALMETTO PERIODONTICS LLC 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. PALMETTO PERIODONTICS LLC NPI is 1174396105. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

124 ALPINE CIR
COLUMBIA, SC
ZIP 29223-385
Phone: (803) 788-0900
Fax: (803) 788-0637

The provider's authorized official is James P Wilson .
The authorized official title is Owner/periodontist and has the following contact phone number (803) 788-0900.

The enumeration date for this NPI number is 11/1/2023 and was last updated on 3/20/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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