Lake Wylie Modern Dentistry, PC
NPI 1194376491ActiveOrganization· Dentist· Lake Wylie, SC
Dentist in Lake Wylie, South Carolina, registered in NPPES in September 2019. The authorized official on file is Ali Shahrestani, DMD, Owner.
Overview
| NPI | 1194376491 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2019 |
| Last updated in NPPES | Jun 14, 2022 |
| Certified by provider | Jun 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
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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