Undersea Oral Surgery, LLC
NPI 1518760636ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· North Charleston, SC
Dentist, Oral and Maxillofacial Surgery in North Charleston, South Carolina, registered in NPPES in April 2025. The authorized official on file is Eric Olendorf, DDS, Oral Surgeon.
Overview
| NPI | 1518760636 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 1, 2025 |
| Last updated in NPPES | Mar 26, 2026 |
| Certified by provider | Mar 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
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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