Eastside Pediatric Dentistry PA
NPI 1841263845ActiveOrganization· Dentist, Pediatric Dentistry· Greenville, SC
Dentist, Pediatric Dentistry in Greenville, South Carolina, registered in NPPES in February 2006. The authorized official on file is Glenn Robert Head, DMD, Owner.
Overview
| NPI | 1841263845 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 9, 2006 |
| Last updated in NPPES | Oct 31, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 2868 | 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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