Little River Medical Center, Inc.
NPI 1679897094ActiveOrganization· Dentist· Myrtle Beach, SC
Dentist in Myrtle Beach, South Carolina, registered in NPPES in March 2010, part of Little River Medical Center, Inc. The authorized official on file is Avangela K. Criswell, Business Office Director.
Overview
| NPI | 1679897094 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Little River Medical Center, Inc. |
| NPI issued | Mar 15, 2010 |
| Last updated in NPPES | Mar 16, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 4406 | 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 |
|---|
Other dentists in Myrtle Beach
- 1013299221
- 1093232480
- 1245428283
- 1285287599
- 1346927357
- 1356791446
- 1396342762
- 1427324243
- 1497412233
- 1508279506
- 1518696012
- 1538509831
All 56 dentists in Myrtle Beach · All dentists in South Carolina