Organization
PALMETTO PERIODONTICS LLC
Active
Other names
James Wilson DMD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES P WILSON DMD (OWNER/PERIODONTIST)
(803) 788-0900
Entity
Organization
Contact information
Practice address
124 ALPINE CIR, COLUMBIA, SC 29223-6385
(803) 788-0900
(803) 788-0637
Mailing address
124 ALPINE CIR, COLUMBIA, SC 29223-6385
(803) 788-0900
(803) 788-0637
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
03/20/2025
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