Gamecock Dentistry PA
NPI 1417517384ActiveOrganization· Dentist, General Practice· Myrtle Beach, SC
Dentist, General Practice in Myrtle Beach, South Carolina, registered in NPPES in June 2019. The authorized official on file is Courtney Holmes Suggs, DMD, Dentist.
Overview
| NPI | 1417517384 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2019 |
| Last updated in NPPES | Nov 20, 2024 |
| Certified by provider | Nov 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Clinic/Center, Dental | 261QD0000X | — | — |
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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