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Organization

Undersea Oral Surgery, LLC

NPI Record: ActiveDentist — Oral and Maxillofacial Surgery
NPI1518760636
North Charleston, South Carolina

Provider's NPPES record last updated: March 26, 2026

Overview

Entity Type
Organization
NPI
1518760636
Primary Specialty
Dentist — Oral and Maxillofacial Surgery
Practice Location
North Charleston, South Carolina
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 9:31 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dentist

    Oral and Maxillofacial Surgery

    Dental Providers

    Primary

    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

    Taxonomy code 1223S0112X

Practice Locations

Practice Location

Trident Medical Center

9330 Medical Plaza Dr

North Charleston, South Carolina 29406

Phone: (757) 880-3148

Additional Practice Location

Summerville Medical Center

295 Midland Pkwy

Summerville, South Carolina 29485

Phone: (757) 880-3148

Additional Practice Location

5350 Kirkwood Blvd Sw Ste 700

Cedar Rapids, Iowa 52404-5234

Phone: (319) 264-6283

Additional Practice Location

2401 128th St

Urbandale, Iowa 50323-1816

Phone: (515) 800-4073

Other Names

  • Dr. Eric OlendorfReported March 26, 2025

Record Information

Enumeration Date
April 1, 2025
Provider's NPPES Record Last Updated
March 26, 2026
Certification Date
March 26, 2026
NPISignal NPPES Dataset
August 2026

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