Lake Wylie Family Dentistry PA
NPI 1437370798ActiveOrganization· Dentist· Lake Wylie, SC
Dentist in Lake Wylie, South Carolina, registered in NPPES in May 2007. The authorized official on file is Susan M. Stall, Insurance Dept.
Overview
| NPI | 1437370798 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 2, 2007 |
| Last updated in NPPES | Feb 4, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 2830 | SC |
| Dentist | 122300000X | 3673 | SC |
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 |
|---|
Other Dentist providers in Lake Wylie
- 1194376491
- 1043334766
- 1427167311
- 1124158472