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SANDHILLS PERIODONTICS
NPI 1053800623
Dentist - Periodontics in Columbia, SC

Active since May 09, 2018
456 CLEMSON RD, COLUMBIA, SC 29229(803) 788-9715(803) 788-9705 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sandhills Periodontics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDHILLS PERIODONTICS (NPI 1053800623) is a healthcare organization registered as a periodontics in Columbia, South Carolina and active in the NPI registry since May 2018. The organization lists Sohee K Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1053800623
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameSANDHILLS PERIODONTICS
Location Address456 CLEMSON RDColumbia, SC 29229-7925
Mailing Address456 Clemson RdColumbia, SC 29229-7925 · (803) 788-9715 · Fax (803) 788-9705
Phone(803) 788-9715
Fax(803) 788-9705
Organization SubpartNo
Authorized OfficialSohee K ParkOwner · (803) 788-9715
Enumeration DateMay 9, 2018
Last NPPES UpdateMarch 27, 2019
✔ NPI 1053800623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in SC · 3592
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
456 CLEMSON RD, Columbia, SC 29229
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SOHEE KIM PARK DMD, MHS
Dentist (Periodontics)
456 CLEMSON RD
COLUMBIA, SC 29229
Richland County (803) 788-9715

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandhills Periodontics's NPI number?

The NPI number for Sandhills Periodontics is 1053800623. It was assigned to this organization in the NPPES registry on May 9, 2018.

Where is Sandhills Periodontics located?

Sandhills Periodontics is located at 456 Clemson Rd, Columbia, SC 29229. The listed phone number is (803) 788-9715.

What is Sandhills Periodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Sandhills Periodontics was last updated on March 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.