South Carolina Periodontology Pa

LBN: South Carolina Periodontology Pa
South Carolina Periodontology Pa is an health care organization with primary practice located at 2120 N Beltline Boulevard , Columbia SC 29204-3905. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. South Carolina Periodontology Pa can be contacted via phone (803) 782-0528, or through James, William Cleveland via phone (803) 782-0528.

Contact Information

Primary practice address
2120 N Beltline Boulevard Columbia SC 29204-3905
Fax: (803) 782-1036
Website:
Authorized official contact:
Name: James, William Cleveland Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1598856353
LBN Legal business name South Carolina Periodontology Pa
DBA Doing business as
Authorized official James, William Cleveland Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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