SAWGRASS PEDIATRIC DENTISTRY LLC NPI 1427499540

NPI Information

SAWGRASS PEDIATRIC DENTISTRY, LLC is a pediatric dentistry dentist in Myrtle Beach, SC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. SAWGRASS PEDIATRIC DENTISTRY, LLC NPI is 1427499540. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 VILLAGE CENTER BLVD
SUITE 130
MYRTLE BEACH, SC
ZIP 29579-706
Phone: (843) 236-7500
Fax: (843) 236-7550

The provider's authorized official is Ryan R Smith .
The authorized official title is Pediatric Dentist and has the following contact phone number (843) 236-7500.

The enumeration date for this NPI number is 7/17/2013 and was last updated on 7/17/2013.

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:

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