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

Southern Roots Periodontics: Implant & Laser Dentistry, LLC

Organization Dental Clinic/Center · NPI 1578009056

Southern Roots Periodontics: Implant & Laser Dentistry, LLC is a Dental Clinic/Center in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2017.

Licensed in
SC
In the registry since
2017
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

2120 N Beltline Blvd
Columbia, SC 29204-4518
Phone: (803) 782-0528
Fax: (803) 782-1036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 8489 (SC)

Record details

NPI number1578009056
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Rowe — Owner/Manager · (803) 782-0528
Other names South Carolina Periodontology
NPI enumeratedJanuary 9, 2017
Last updated in NPPESJanuary 9, 2017
Mailing address2120 N Beltline Blvd, Columbia, SC 29204-4518

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