Organization Active NPI

Solomon Dental Sedations LLC

  • Oral and Maxillofacial Pathology Dentistry
  • Summerville, SC
National Provider Identifier
1124942545
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
Legal business name
SOLOMON DENTAL SEDATIONS LLC
Practice address
497 W Butternut Rd Ste 201
Summerville, SC 29483-5585
Phone
(843) 871-0842
NPI assigned
Aug 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angie Bazzle
Title
Operations Manager
Phone
(843) 871-0842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0106X Primary

Addresses

Primary practice location

497 W Butternut Rd Ste 201
Summerville, SC 29483-5585

Mailing address

1971 N Main St Ste 201
Summerville, SC 29486-7890
Phone (843) 871-0842

National Provider Directory

National Provider Directory
Tax ID family
Solomon Dental Sedations LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

497 W Butternut Rd
Ste 201
Summerville, SC 29483

1971 N Main St
Ste 201
Summerville, SC 29486

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1124942545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 N MAIN ST STE 201",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867890",
            "telephone_number": "843-871-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 W BUTTERNUT RD STE 201",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294835585",
            "telephone_number": "843-871-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLOMON DENTAL SEDATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "BAZZLE",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "843-871-0842"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.