Dental Professional of South Carolina, P.C.
NPI 1104467224ActiveOrganization· Dentist, General Practice· Myrtle Beach, SC
Dentist, General Practice in Myrtle Beach, South Carolina, registered in NPPES in September 2019, part of Dental Professional of South Carolina, P.C. The authorized official on file is Jessica Britt, Credentialing Coordinator.
Overview
| NPI | 1104467224 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Professional of South Carolina, P.C. |
| NPI issued | Sep 30, 2019 |
| Last updated in NPPES | Dec 12, 2019 |
| Certified by provider | Dec 12, 2019 |
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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