Provider Type Icon

DENTAL PROFESSIONAL OF SOUTH CAROLINA P.C. NPI 1104467224


NPI Information

NPI: 1104467224
Provider Name: DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.

Doing Business As: FARROW PARKWAY DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2749 AGNES LN
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 213-6653
Get Directions

DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. is a general practice dentist in Myrtle Beach, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. NPI is 1104467224. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Farrow Parkway Dental Care.

The provider's business location address is:

2749 AGNES LN
MYRTLE BEACH, SC
ZIP 29577-029
Phone: (843) 213-6653
Fax: (843) 492-5993

The provider's authorized official is Jessica Britt .
The authorized official title is Credentialing Coordinator and has the following contact phone number (217) 540-5100.

The enumeration date for this NPI number is 9/30/2019 and was last updated on 12/12/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.