Organization · Type 2 NPI

Palmetto Periodontics LLC

Periodontics · Columbia, SC

NPI number 1174396105 Active

Practice location

124 Alpine Cir
Columbia, SC 29223-6385

Fax (803) 788-0637

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone listed

Periodontics: 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.

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About NPI 1174396105

Palmetto Periodontics LLC's National Provider Identifier is 1174396105, issued on Nov 1, 2023. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Columbia, SC. The record was last updated on Mar 20, 2025.