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Periodontic Specialists By Solomon Dental LLC

NPI 1194576132ActiveOrganization· Dentist, Periodontics· North Charleston, SC

Dentist, Periodontics in North Charleston, South Carolina, registered in NPPES in March 2024. The authorized official on file is Angie Bazzle, Operations Manager.

Overview

NPI1194576132
StatusActive
Entity typeOrganization
NPI issuedMar 28, 2024
Last updated in NPPESApr 28, 2026
Certified by providerApr 28, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Periodontics Primary1223P0300X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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 periodontists in North Charleston

All periodontists in South Carolina