Dental Professionals of SC, PC
NPI 1306248422ActiveOrganization· Dentist, General Practice· North Myrtle Beach, SC
Dentist, General Practice in North Myrtle Beach, South Carolina, registered in NPPES in September 2014, part of Dental Professionals of SC, PC. The authorized official on file is Kendra Walker, Credentialing Coordinator.
Overview
| NPI | 1306248422 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Professionals of SC, PC |
| NPI issued | Sep 19, 2014 |
| Last updated in NPPES | Sep 19, 2014 |
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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