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Dental Professionals of South Carolina, PC

NPI 1609241033ActiveOrganization· Dentist, General Practice· North Charleston, SC

Dentist, General Practice in North Charleston, South Carolina, registered in NPPES in December 2015, part of Dental Professionals of South Carolina, PC. The authorized official on file is Kendra Walker, Credentialing Team Lead.

Overview

NPI1609241033
StatusActive
Entity typeOrganization (subpart)
Parent organizationDental Professionals of South Carolina, PC
NPI issuedDec 10, 2015
Last updated in NPPESDec 10, 2015

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 North Charleston

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