Dental Professionals of South Carolina, P.C.
NPI 1154714079ActiveOrganization· Dentist, General Practice· Columbia, SC
Dentist, General Practice in Columbia, South Carolina, registered in NPPES in March 2015, part of Dental Professionals of South Carolina, P.C. The authorized official on file is Kim Wilson, Cred Supervisor.
Overview
| NPI | 1154714079 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Professionals of South Carolina, P.C. |
| NPI issued | Mar 17, 2015 |
| Last updated in NPPES | Mar 17, 2015 |
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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