OrganizationActive
Sandhills Periodontics
NPI 1053800623 · Periodontics · Columbia, SC
Sandhills Periodontics is a Periodontics organization in Columbia, SC (NPI 1053800623).
Provider details
- NPI number
- 1053800623
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Sohee Park, Owner(803) 788-9715
- License
- 3592 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
456 Clemson Rd
Columbia, SC 29229-7925
Phone: (803) 788-9715
Fax: (803) 788-9705
Street-level locationGet directions
Mailing address
456 Clemson Rd
Columbia, SC 29229-7925
Registry dates
- Enumerated
- 2018-05-09
- Last updated
- 2019-03-27
Frequently asked questions
- What is Sandhills Periodontics's NPI number?
- Sandhills Periodontics's National Provider Identifier (NPI) is 1053800623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sandhills Periodontics?
- Sandhills Periodontics is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Sandhills Periodontics located?
- Sandhills Periodontics's practice location on file with NPPES is 456 Clemson Rd, Columbia, SC 29229-7925.
- What is Sandhills Periodontics's phone number?
- The practice phone number listed in the NPPES registry for Sandhills Periodontics is (803) 788-9715.
- Who is the authorized official for Sandhills Periodontics?
- The authorized official listed on Sandhills Periodontics's NPPES record is Sohee Park, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sandhills Periodontics's NPI active?
- Yes — Sandhills Periodontics's NPI (1053800623) is active in the NPPES registry as of the last update on 2019-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.