Prime Dental LLC
NPI 1629621933ActiveOrganization· Dentist, General Practice· Anderson, SC
Dentist, General Practice in Anderson, South Carolina, registered in NPPES in July 2019, part of Prime Dental LLC. The authorized official on file is Asa Duncan Shirley, DMD, Owner/Dentist.
Overview
| NPI | 1629621933 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Prime Dental LLC |
| NPI issued | Jul 17, 2019 |
| Last updated in NPPES | Jul 17, 2019 |
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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