Tidal Creek Dental LLC
NPI 1568996585ActiveOrganization· Dentist, General Practice· Mount Pleasant, SC
Dentist, General Practice in Mount Pleasant, South Carolina, registered in NPPES in April 2017. The authorized official on file is George A. Gaillardetz, DMD, Owner.
Overview
| NPI | 1568996585 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2017 |
| Last updated in NPPES | Apr 17, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 8715 | 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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