Organization
SOUTH CAROLINA PERIODONTOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CLEVELAND JAMES JR. DDS (OWNER)
(803) 782-0528
Entity
Organization
Contact information
Practice address
2120 N BELTLINE BOULEVARD, COLUMBIA, SC 29204-3905
(803) 782-0528
(803) 782-1036
Mailing address
2120 N BELTLINE BOULEVARD, COLUMBIA, SC 29204-3905
(803) 782-0528
(803) 782-1036
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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