Holly Tree Pediatric Dentistry
NPI 1083008890ActiveOrganization· Dentist, Pediatric Dentistry· Simpsonville, SC
Dentist, Pediatric Dentistry in Simpsonville, South Carolina, registered in NPPES in March 2015. The authorized official on file is Ann Bynum, DDS, President.
Overview
| NPI | 1083008890 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2015 |
| Last updated in NPPES | Feb 29, 2024 |
| Certified by provider | Nov 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 3427 | 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 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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