Tatum Newbill
Dentist in Clover, SC. Individual provider (NPI-1).
NPI number1215565833
StatusActive
Last updated in NPPESJan 29, 2026
Details
- NPI
- 1215565833
- Entity type
- Individual (NPI-1)
- Name
- Tatum Newbill
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2020
- Certification date
- Jan 29, 2026
- Last updated
- Jan 29, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 11257 | SC | Yes |
| 122300000X | Dentist | 59121168 | VA | |
| 122300000X | Dentist | 12014 | NC |
Practice location
244 Latitude Ln Ste 103Clover, SC 29710-8125
Phone 803-831-2171
Mailing address
18228 McKee RdCharlotte, NC 28278-0154
Phone 540-420-7595
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