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HAPPY TEETH HAPPY KIDS LLC NPI 1225410558


NPI Information

NPI: 1225410558
Provider Name: HAPPY TEETH HAPPY KIDS, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3074 DEVILLE ST
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 839-4554
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HAPPY TEETH HAPPY KIDS, LLC 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. HAPPY TEETH HAPPY KIDS, LLC NPI is 1225410558. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3074 DEVILLE ST
MYRTLE BEACH, SC
ZIP 29577-569
Phone: (843) 839-4554
Fax: (843) 839-4043

The provider's authorized official is Marlene Mendez .
The authorized official title is Owner and has the following contact phone number (843) 839-4554.

The enumeration date for this NPI number is 6/23/2015 and was last updated on 6/23/2015.


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
11223P0300XDentistPeriodontics4429SOUTH CAROLINANo
21223G0001XDentistGeneral Practice4406SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11144462698MEDICAIDSOUTH CAROLINA
21336337047MEDICAIDSOUTH CAROLINA

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

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