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SOUTHERN ROOTS PERIODONTICS: IMPLANT & LASER DENTISTRY, LLC
NPI 1578009056
Clinic/Center - Dental in Columbia, SC

Active since January 09, 2017
2120 N BELTLINE BLVD, COLUMBIA, SC 29204(803) 782-0528(803) 782-1036 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Southern Roots Periodontics: Implant & Laser Dentistry, Llc NPPES

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

SOUTHERN ROOTS PERIODONTICS: IMPLANT & LASER DENTISTRY, LLC (NPI 1578009056), doing business as South Carolina Periodontology, is a healthcare organization registered as a dental in Columbia, South Carolina and active in the NPI registry since January 2017. The organization lists Matthew Joseph Rowe, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1578009056
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOUTHERN ROOTS PERIODONTICS: IMPLANT & LASER DENTISTRY, LLC
Location Address2120 N BELTLINE BLVDColumbia, SC 29204-4518
Mailing Address2120 N Beltline BlvdColumbia, SC 29204-4518 · (803) 782-0528 · Fax (803) 782-1036
Phone(803) 782-0528
Fax(803) 782-1036
Organization SubpartNo
Authorized OfficialMatthew Joseph RoweOwner/manager · (803) 782-0528
Enumeration DateJanuary 9, 2017
✔ NPI 1578009056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in SC · 8489
2120 N BELTLINE BLVD, Columbia, SC 29204
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Other Names 1

Former Legal Business NameSouth Carolina Periodontology

Other Providers at the Same Location NPPES 2

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

DR. WILLIAM CLEVELAND JAMES JR. DDS
Dentist (Periodontics)
2120 N BELTLINE BLVD
COLUMBIA, SC 29204
Richland County (803) 782-0528
DR. MATTHEW JOSEPH ROWE DDS, M.S.D.
Dentist (Periodontics)
2120 N BELTLINE BLVD, STE B
COLUMBIA, SC 29204
Richland County (803) 782-0528

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 Southern Roots Periodontics: Implant & Laser Dentistry, LLC's NPI number?

The NPI number for Southern Roots Periodontics: Implant & Laser Dentistry, LLC is 1578009056. It was assigned to this organization in the NPPES registry on January 9, 2017. The provider was formerly known as South Carolina Periodontology.

Where is Southern Roots Periodontics: Implant & Laser Dentistry, LLC located?

Southern Roots Periodontics: Implant & Laser Dentistry, LLC is located at 2120 N Beltline Blvd, Columbia, SC 29204. The listed phone number is (803) 782-0528.

What is Southern Roots Periodontics: Implant & Laser Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Southern Roots Periodontics: Implant & Laser Dentistry, LLC was last updated on January 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.