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Dental Professionals of South Carolina, P.C.

NPI 1558128058ActiveOrganization· Dentist, General Practice· Little River, SC

Dentist, General Practice in Little River, South Carolina, registered in NPPES in March 2024, part of Dental Professional of South Carolina, P.C. The authorized official on file is Hillary Thull, Credentialing Coordinator.

Overview

NPI1558128058
StatusActive
Entity typeOrganization (subpart)
Parent organizationDental Professional of South Carolina, P.C.
NPI issuedMar 1, 2024
Last updated in NPPESApr 8, 2024
Certified by providerApr 8, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist, General Practice providers in Little River

All Dentist, General Practice providers in South Carolina →