Dental Professionals of South Carolina, P.C.
NPI 1053865972ActiveOrganization· Dentist, General Practice· Columbia, SC
Dentist, General Practice in Columbia, South Carolina, registered in NPPES in August 2016, part of Dental Professionals of South Carolina, P.C. The authorized official on file is Hillary Thull, Credentialing Coordinator.
Overview
| NPI | 1053865972 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Professionals of South Carolina, P.C. |
| NPI issued | Aug 9, 2016 |
| Last updated in NPPES | Oct 30, 2024 |
| Certified by provider | Oct 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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All 269 general dentists in Columbia · All general dentists in South Carolina