PALMETTO PERIODONTICS LLC
NPI 1174396105
Dentist - Periodontics in Columbia, SC

Active since November 01, 2023
124 ALPINE CIR, COLUMBIA, SC 29223(803) 788-0900(803) 788-0637 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2025, Nov 1, 2023 (2 updates tracked since 2023).

About Palmetto Periodontics Llc NPPES

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

PALMETTO PERIODONTICS LLC (NPI 1174396105), doing business as James Wilson Dmd Llc, is a healthcare organization registered as a periodontics in Columbia, South Carolina and active in the NPI registry since November 2023. The organization lists James P Wilson, Owner/periodontist, as its authorized official.

NPPES Registry Identity

NPI1174396105
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePALMETTO PERIODONTICS LLC
Location Address124 ALPINE CIRColumbia, SC 29223-6385
Mailing Address124 Alpine CirColumbia, SC 29223-6385 · (803) 788-0900 · Fax (803) 788-0637
Fax(803) 788-0637
Organization SubpartNo
Authorized OfficialJames P WilsonOwner/periodontist · (803) 788-0900
Enumeration DateNovember 1, 2023
Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
NPI 1174396105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
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.
124 ALPINE CIR, Columbia, SC 29223

Other Names 1

Former Legal Business NameJames Wilson Dmd Llc

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 SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Periodontics)
124 ALPINE CIR
COLUMBIA, SC 29223

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 Palmetto Periodontics LLC's NPI number?

The NPI number for Palmetto Periodontics LLC is 1174396105. It was assigned to this organization in the NPPES registry on November 1, 2023. The provider was formerly known as James Wilson DMD LLC.

Where is Palmetto Periodontics LLC located?

Palmetto Periodontics LLC is located at 124 Alpine Cir, Columbia, SC 29223. The listed phone number is (803) 788-0900.

What is Palmetto Periodontics LLC's specialty?

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

What insurance does Palmetto Periodontics LLC accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Palmetto Periodontics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Palmetto Periodontics LLC was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.