Charleston Pediatric Dentistry, P.A.
NPI 1033238589ActiveOrganization· Dentist, Pediatric Dentistry· North Charleston, SC
Dentist, Pediatric Dentistry in North Charleston, South Carolina, registered in NPPES in March 2007. The authorized official on file is Lisa Bodiford, Office Manager.
Overview
| NPI | 1033238589 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 2638-0358 SC | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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