Provider Demographics
NPI:1497641344
Name:PATTERSON, LANDON WILLIAM (DMD)
Entity type:Individual
Prefix:DR
First Name:LANDON
Middle Name:WILLIAM
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 PENBROKE CT
Mailing Address - Street 2:
Mailing Address - City:SIX MILE
Mailing Address - State:SC
Mailing Address - Zip Code:29682-4005
Mailing Address - Country:US
Mailing Address - Phone:330-575-8556
Mailing Address - Fax:
Practice Address - Street 1:4500 8TH DIVISION RD FL 3
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29207-5700
Practice Address - Country:US
Practice Address - Phone:803-751-2160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC111081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice