Palmetto Family and Cosmetic Dentistry IV
NPI 1124805254ActiveOrganization· Dentist, General Practice· Sumter, SC
Dentist, General Practice in Sumter, South Carolina, registered in NPPES in September 2023, part of Palmetto Family and Cosmetic Dentistry LLC. The authorized official on file is Evelyn Horne, Ceo.
Overview
| NPI | 1124805254 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Palmetto Family and Cosmetic Dentistry LLC |
| NPI issued | Sep 12, 2023 |
| Last updated in NPPES | Sep 28, 2023 |
| Certified by provider | Sep 28, 2023 |
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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