Dental Professionals of South Carolina, P.C.
NPI 1619423449ActiveOrganization· Dentist, General Practice· Clover, SC
Dentist, General Practice in Clover, South Carolina, registered in NPPES in August 2016, part of Dental Professionals of South Carolina, P.C. The authorized official on file is Kendra Walker, Credentialing Team Lead.
Overview
| NPI | 1619423449 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Dental Professionals of South Carolina, P.C. |
| NPI issued | Aug 31, 2016 |
| Last updated in NPPES | Jan 9, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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