PERIODONTIC SPECIALISTS BY SOLOMON DENTAL LLC
NPI 1194576132
Dentist - Periodontics in North Charleston, SC

Active since March 28, 2024
7481 NORTHSIDE DR STE A, NORTH CHARLESTON, SC 29420(843) 863-8634 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2026, Mar 24, 2025 (2 updates tracked since 2025).

About Periodontic Specialists By Solomon Dental Llc NPPES

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

PERIODONTIC SPECIALISTS BY SOLOMON DENTAL LLC (NPI 1194576132) is a healthcare organization registered as a periodontics in North Charleston, South Carolina and active in the NPI registry since March 2024. The organization maintains 3 additional practice locations and lists Angie Bazzle, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1194576132
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTIC SPECIALISTS BY SOLOMON DENTAL LLC
Location Address7481 NORTHSIDE DR STE ANorth Charleston, SC 29420-4282
Mailing Address1971 N Main StSummerville, SC 29486-7890 · (843) 871-0842
Organization SubpartNo
Authorized OfficialAngie BazzleOperations Manager · (843) 871-0842
Enumeration DateMarch 28, 2024
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
NPI 1194576132 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.
7481 NORTHSIDE DR STE A, North Charleston, SC 29420

Other Names 1

Doing Business AsPeriodontic Specialists By Solomon Dental Llc

Secondary Practice Locations 3

Location 11051 Johnnie Dodds Blvd Ste AMount Pleasant, SC 29464-3100 · Phone (843) 486-2992
Location 2497 W Butternut RdSummerville, SC 29483-5585 · Phone (843) 871-0842
Location 33102 N Highway 17Mount Pleasant, SC 29466-6925 · Phone (843) 871-0842

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
7481 NORTHSIDE DR STE A
NORTH CHARLESTON, SC 29420

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 Periodontic Specialists By Solomon Dental LLC's NPI number?

The NPI number for Periodontic Specialists By Solomon Dental LLC is 1194576132. It was assigned to this organization in the NPPES registry on March 28, 2024.

Where is Periodontic Specialists By Solomon Dental LLC located?

Periodontic Specialists By Solomon Dental LLC is located at 7481 Northside Dr Ste A, North Charleston, SC 29420. The listed phone number is (843) 863-8634.

What is Periodontic Specialists By Solomon Dental LLC's specialty?

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

What insurance does Periodontic Specialists By Solomon Dental LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Periodontic Specialists By Solomon Dental 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 Periodontic Specialists By Solomon Dental LLC was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.