Organization
PERIODONTIC SPECIALISTS BY SOLOMON DENTAL LLC
Active
Other names
Periodontic Specialists By Solomon Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE BAZZLE (OPERATIONS MANAGER)
(843) 871-0842
Entity
Organization
Contact information
Practice address
7481 NORTHSIDE DR STE A, NORTH CHARLESTON, SC 29420-4282
(843) 863-8634
Mailing address
1971 N MAIN ST, SUMMERVILLE, SC 29486-7890
(843) 871-0842
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
04/28/2026
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