Dental Professionals of South Carolina, PC
NPI 1053706747ActiveOrganization· Dentist, General Practice· Myrtle Beach, SC
Dentist, General Practice in Myrtle Beach, South Carolina, registered in NPPES in March 2015, part of Dental Professionals of South Carolina, PC. The authorized official on file is Heather Pruemer, Credentialing.
Overview
| NPI | 1053706747 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Professionals of South Carolina, PC |
| NPI issued | Mar 31, 2015 |
| Last updated in NPPES | Mar 31, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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