Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Palmetto Periodontics LLC

Organization Periodontics · NPI 1174396105

Palmetto Periodontics LLC is a Periodontics in Columbia, South Carolina. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

124 Alpine Cir
Columbia, SC 29223-6385
Phone: (803) 788-0900
Fax: (803) 788-0637
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1174396105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Wilson — Owner/Periodontist · (803) 788-0900
Other names James Wilson Dmd Llc
NPI enumeratedNovember 1, 2023
Last updated in NPPESMarch 20, 2025
Certification dateNovember 1, 2023
Mailing address124 Alpine Cir, Columbia, SC 29223-6385

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