Dental Professional of South Carolina, P.C.
NPI 1154265080ActiveOrganization· Dentist, General Practice· Surfside Beach, SC
Dentist, General Practice in Surfside Beach, South Carolina, registered in NPPES in April 2026, part of Dental Professional of South Carolina, P.C. The authorized official on file is Cemyira McDougal, Credentialing.
Overview
| NPI | 1154265080 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Professional of South Carolina, P.C. |
| NPI issued | Apr 20, 2026 |
| Last updated in NPPES | Apr 20, 2026 |
| Certified by provider | Apr 14, 2026 |
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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