Tidewater Dentistry, PA
NPI 1306361092ActiveOrganization· Dentist, General Practice· Summerville, SC
Dentist, General Practice in Summerville, South Carolina, registered in NPPES in August 2017. The authorized official on file is James Reed Williamson, DMD, President.
Overview
| NPI | 1306361092 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 3, 2017 |
| Last updated in NPPES | Jan 13, 2021 |
| Certified by provider | Jan 13, 2021 |
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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