OrganizationActive
Palmetto Periodontics LLC
NPI 1174396105 · Periodontics · Columbia, SC
Palmetto Periodontics LLC is a Periodontics organization in Columbia, SC (NPI 1174396105).
Provider details
- NPI number
- 1174396105
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- James Wilson, Owner/Periodontist(803) 788-0900
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
124 Alpine Cir
Columbia, SC 29223-6385
Phone: (803) 788-0900
Fax: (803) 788-0637
Street-level locationGet directions
Mailing address
124 Alpine Cir
Columbia, SC 29223-6385
Other names (DBA / former)
- Former legal business name
- James Wilson DMD LLC
Registry dates
- Enumerated
- 2023-11-01
- Last updated
- 2025-03-20
- Certified
- 2023-11-01
Frequently asked questions
- What is Palmetto Periodontics LLC's NPI number?
- Palmetto Periodontics LLC's National Provider Identifier (NPI) is 1174396105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Palmetto Periodontics LLC?
- Palmetto Periodontics LLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Palmetto Periodontics LLC located?
- Palmetto Periodontics LLC's practice location on file with NPPES is 124 Alpine Cir, Columbia, SC 29223-6385.
- What is Palmetto Periodontics LLC's phone number?
- The practice phone number listed in the NPPES registry for Palmetto Periodontics LLC is (803) 788-0900.
- Who is the authorized official for Palmetto Periodontics LLC?
- The authorized official listed on Palmetto Periodontics LLC's NPPES record is James Wilson, Owner/Periodontist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Palmetto Periodontics LLC's NPI active?
- Yes — Palmetto Periodontics LLC's NPI (1174396105) is active in the NPPES registry as of the last update on 2025-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.