NPIMap

Organization Active NPI

Periodontic Specialists by Solomon Dental LLC

  • Periodontics
  • North Charleston, SC
National Provider Identifier
1194576132
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
PERIODONTIC SPECIALISTS BY SOLOMON DENTAL LLC
Doing business as
Periodontic Specialists By Solomon Dental LLC
Practice address
7481 Northside Dr Ste a
North Charleston, SC 29420-4282
Phone
(843) 863-8634
NPI assigned
Mar 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

7481 Northside Dr Ste a
North Charleston, SC 29420-4282

Mailing address

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

Other practice location 1

1051 Johnnie Dodds Blvd Ste A
Mount Pleasant, SC 29464-3100
Phone (843) 486-2992

Other practice location 2

497 W Butternut Rd
Summerville, SC 29483-5585
Phone (843) 871-0842

Other practice location 3

3102 N Highway 17
Mount Pleasant, SC 29466-6925
Phone (843) 871-0842

Other names 1

  • Periodontic Specialists By Solomon Dental LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1051 Johnnie Dodds Blvd
Ste A
Mt Pleasant, SC 29464
Phone (843) 388-9690

3102 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 871-0842

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1194576132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 N MAIN ST",
            "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": "7481 NORTHSIDE DR STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294204282",
            "telephone_number": "843-863-8634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Johnnie Dodds Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643100",
            "country_code": "US",
            "telephone_number": "843-486-2992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "497 W Butternut Rd",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294835585",
            "country_code": "US",
            "telephone_number": "843-871-0842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3102 N Highway 17",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294666925",
            "country_code": "US",
            "telephone_number": "843-871-0842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERIODONTIC SPECIALISTS BY SOLOMON DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "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": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Periodontic Specialists By Solomon Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Periodontic Specialists By Solomon Dental LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.