Dental Professionals of South Carolina, P.C.
NPI 1013302785ActiveOrganization· Dentist· Greenville, SC
Dentist in Greenville, South Carolina, registered in NPPES in March 2015. The authorized official on file is Cassandra Petersen, Credentialing Team Lead.
Overview
| NPI | 1013302785 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 31, 2015 |
| Last updated in NPPES | May 7, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 3791 | SC |
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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