Columbia Periodontal Assoicates, Llc is a Periodontology Clinic in Columbia, South Carolina. It is located at 3527 Bush River Rd, Columbia, SC and its contact number is 803-798-0894. The authorized person for Columbia Periodontal Assoicates, Llc is Mrs. Laurel-jean M Mathis
who is Office Manager of the clinic and their contact number is 803-798-0894. Columbia Periodontal Assoicates, Llc Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Columbia Periodontal Assoicates, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Columbia Periodontal Assoicates, Llc
Specialization:
Periodontology
Clinic Address:
3527 Bush River Rd, Columbia, South Carolina, 29210-4805
Phone:
803-798-0894
Fax:
803-731-7887
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Laurel-jean M Mathis
Position:
Office Manager
Contact Number:
803-798-0894
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Columbia Periodontal Assoicates, Llc clinic are as mentioned below.
NPI Number:
1548282130
NPI Enumeration Date:
24 Jul, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Columbia Periodontal Assoicates, Llc are as mentioned below.
Specialization
License Number
State
Status
Periodontics
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
ZA9736
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Columbia Periodontal Assoicates, Llc 3527 Bush River Rd, Columbia, South Carolina
Zip:
29210-4805
Phone Number:
803-798-0894
Fax Number:
803-731-7887
Patients can reach Columbia Periodontal Assoicates, Llc at 3527 Bush River Rd, Columbia, South Carolina or can call to book an appointment on 803-798-0894. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.