Little River Medical Center, Inc.
NPI 1508122433ActiveOrganization· Dentist· Little River, SC
Dentist in Little River, South Carolina, registered in NPPES in April 2012, part of Little River Medical Center, Inc. The authorized official on file is Avangela K. Criswell, Business Office Director.
Overview
| NPI | 1508122433 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Little River Medical Center, Inc. |
| NPI issued | Apr 4, 2012 |
| Last updated in NPPES | Apr 4, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | SC |
| Dental Hygienist | 124Q00000X | — | 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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