Little River Medical Center, Inc.
NPI 1114241536ActiveOrganization· Dentist· Myrtle Beach, SC
Dentist in Myrtle Beach, South Carolina, registered in NPPES in March 2010, part of Little River Medical Center, Inc. The authorized official on file is Avangela K. Criswell, Business Office Director.
Overview
| NPI | 1114241536 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Little River Medical Center, Inc. |
| NPI issued | Mar 15, 2010 |
| Last updated in NPPES | Mar 16, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 4406 | 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 |
|---|
Other Dentist providers in Myrtle Beach
- 1093096984
- 1205637204
- 1396889697
- 1225272313
- 1265621643
- 1629235205
- 1720131600
- 1518155415
- 1790971927
- 1386967818
- 1396069613
- 1487835799