Southlake Family Dentistry LLC
NPI 1487670667ActiveOrganization· Dentist, General Practice· Fort Mill, SC
Dentist, General Practice in Fort Mill, South Carolina, registered in NPPES in July 2006. The authorized official on file is Gary C. Kimsey, D.M.D.,F.A.G.D., President.
Overview
| NPI | 1487670667 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 14, 2006 |
| Last updated in NPPES | Jul 16, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 2588 | SC |
| Dentist, General Practice | 1223G0001X | 3549 | 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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