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Dental Wellness Center Eb5 Vi LLC

NPI 1114551058ActiveOrganization· Dentist, General Practice· Manning, SC

Dentist, General Practice in Manning, South Carolina, registered in NPPES in March 2020, part of Dental Wellness Center Eb5 Vi LLC. The authorized official on file is Shari Matthews, Director Of Operations.

Overview

NPI1114551058
StatusActive
Entity typeOrganization (subpart)
Parent organizationDental Wellness Center Eb5 Vi LLC
NPI issuedMar 1, 2020
Last updated in NPPESMar 1, 2020
Certified by providerMar 1, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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