Skip to content

Immediate Dental Group LLC - North Charleston

NPI 1154665776ActiveOrganization· Dentist· North Charleston, SC

Dentist in North Charleston, South Carolina, registered in NPPES in November 2012. The authorized official on file is Zachary Todd Daugherty, Business Manager.

Overview

NPI1154665776
StatusActive
Entity typeOrganization
NPI issuedNov 20, 2012
Last updated in NPPESJan 22, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 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

Other Dentist providers in North Charleston

All Dentist providers in South Carolina →