Columbia Periodontal Assoicates, Llc
Periodontology Clinic
3527 Bush River Rd, Columbia
South Carolina, 29210-4805
803-798-0894 803-731-7887
Maps & DirectionsColumbia 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.