Surfside Dental LLC
NPI 1316216500ActiveOrganization· Dentist, General Practice· Surfside Beach, SC
Dentist, General Practice in Surfside Beach, South Carolina, registered in NPPES in December 2011. The authorized official on file is Scott J. Willis, Member.
Overview
| NPI | 1316216500 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2011 |
| Last updated in NPPES | Dec 19, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 1693 | SC |
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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