DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SANDHILLS PERIODONTICS

MEDICARE: SANDHILLS PERIODONTICS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0300XPeriodontics3592SC

General Provider Information

NPI Number : 1053800623
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANDHILLS PERIODONTICS
Provider Business Mailing Address
First Line : 456 CLEMSON RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29229-7925
Country : US
Telephone Number : 803-788-9715
Fax Number : 803-788-9705
Provider Business Practice Location Address
First Line : 456 CLEMSON RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29229-7925
Country : US
Telephone Number : 803-788-9715
Fax Number : 803-788-9705
Authorized Official
Title or Position : OWNER
Name : DR. SOHEE K PARK
Credential :
Telephone Number : 803-788-9715
Provider Enumeration Date : 05/09/2018
Last Update Date : 03/27/2019

Similar Medicare Providers

1437788387 — AMNA REHMAN MD
Practice Location Address:
460 CLEMSON RD
COLUMBIA, SC
29229-7925
Practice Phone: 803-865-4960
Practice Fax:
1700800497 — DR. SOHEE KIM PARK DMD, MHS
Practice Location Address:
456 CLEMSON RD
COLUMBIA, SC
29229-7925
Practice Phone: 803-788-9715
Practice Fax: 803-788-9705
1124201280 — KRAEMER WOMENS CARE, LLC
Practice Location Address:
460 CLEMSON RD
COLUMBIA, SC
29229-7925
Practice Phone: 803-438-3800
Practice Fax: 803-438-3898
1508121948 — JILL MARIE JOHNSON D.O.
Practice Location Address:
460 CLEMSON RD
COLUMBIA, SC
29229-7925
Practice Phone: 803-438-3800
Practice Fax: 803-438-3898
1669806493 — MRS. ASHLEY ROBINSON MUNN APRN
Practice Location Address:
460 CLEMSON RD
COLUMBIA, SC
29229-7925
Practice Phone: 803-438-3800
Practice Fax: 803-438-3898
1679136873 — JAMIE LEE HAMILTON FNP
Practice Location Address:
460 CLEMSON RD
COLUMBIA, SC
29229-7925
Practice Phone: 803-438-3800
Practice Fax:

Directions to “SANDHILLS PERIODONTICS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.