Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Roy Lee Faulks III, DMD, MSD

Individual provider Periodontics · NPI 1639751571

Dr. Roy Lee Faulks III, DMD, MSD is a Periodontics in Columbia, South Carolina. Works from 3 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2021
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3527 Bush River Rd
Columbia, SC 29210-4805
Phone: (803) 798-0894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2325 Devine St, Columbia, SC 29205-2403 — (803) 252-2844
  • 456 Clemson Rd, Columbia, SC 29229-7925 — (803) 788-9715

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 11148 (SC)

Record details

NPI number1639751571
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MSD
Sole proprietorNo
NPI enumeratedApril 21, 2021
Last updated in NPPESJuly 20, 2025
Certification dateJuly 20, 2025

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