Sparkle Dental Center Inc.
NPI 1104243740ActiveOrganization· Dentist, General Practice· Myrtle Beach, SC
Dentist, General Practice in Myrtle Beach, South Carolina, registered in NPPES in March 2014. The authorized official on file is Cameron Julius Banks, PSY.D, President.
Overview
| NPI | 1104243740 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2014 |
| Last updated in NPPES | Mar 20, 2014 |
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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