Dental Professionals of South Carolina, PC
NPI 1295195188ActiveOrganization· Dentist, General Practice· Goose Creek, SC
Dentist, General Practice in Goose Creek, South Carolina, registered in NPPES in March 2016, part of Dental Professionals of South Carolina, PC. The authorized official on file is Kendra Walker, Credentialing Team Lead.
Overview
| NPI | 1295195188 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Professionals of South Carolina, PC |
| NPI issued | Mar 4, 2016 |
| Last updated in NPPES | Mar 4, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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