South Carolina Periodontology PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

SOUTH CAROLINA PERIODONTOLOGY PA

Practice address

2120 N Beltline Boulevard
Columbia, SC 29204-3905

Phone

(803) 782-0528

Fax

(803) 782-1036

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Cleveland James Jr., DDS

Title

Owner

Phone

(803) 782-0528

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598856353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 N BELTLINE BOULEVARD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292043905",
            "telephone_number": "803-782-0528",
            "fax_number": "803-782-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N BELTLINE BOULEVARD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292043905",
            "telephone_number": "803-782-0528",
            "fax_number": "803-782-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA PERIODONTOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CLEVELAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-782-0528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Columbia, SC
• Providers in Columbia, SC by specialty
• Periodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.