Organization · Type 2 NPI

South Carolina Periodontology PA

Periodontics · Columbia, SC

NPI number 1598856353 Active

Practice location

2120 N Beltline Boulevard
Columbia, SC 29204-3905

Fax (803) 782-1036

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 1598856353

South Carolina Periodontology PA's National Provider Identifier is 1598856353, issued on Sep 27, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Columbia, SC. The record was last updated on Aug 22, 2020.