Little River Medical Center, Inc.
NPI 1528333952ActiveOrganization· Dentist· Conway, SC
Dentist in Conway, South Carolina, registered in NPPES in March 2012, part of Little River Medical Center, Inc. The authorized official on file is Avangela K. Criswell, Business Office Director.
Overview
| NPI | 1528333952 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Little River Medical Center, Inc. |
| NPI issued | Mar 19, 2012 |
| Last updated in NPPES | Mar 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 4406 | 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 |
|---|
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