Palmetto Periodontics LLC
NPI 1174396105ActiveOrganization· Dentist, Periodontics· Columbia, SC
Dentist, Periodontics in Columbia, South Carolina, registered in NPPES in November 2023. The authorized official on file is James P. Wilson, DMD, Owner/Periodontist.
Overview
| NPI | 1174396105 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 1, 2023 |
| Last updated in NPPES | Mar 20, 2025 |
| Certified by provider | Nov 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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