MARKET COMMON DENTISTRY PC NPI 1376622837

NPI Information

MARKET COMMON DENTISTRY, PC 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. MARKET COMMON DENTISTRY, PC NPI is 1376622837. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1342 FARROW PKWY
MYRTLE BEACH, SC
ZIP 29577-668
Phone: (843) 293-6700
Fax: (843) 293-6740

The provider's authorized official is James E Mills .
The authorized official title is President Owner and has the following contact phone number (843) 293-6700.

The CLIA number assigned to this NPI record is 42D2070214 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 8/26/2015.

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:

Other Identifiers

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

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