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D. CALVIN RILEY JR. DMD PA NPI 1013964147


NPI Information

NPI: 1013964147
Provider Name: D. CALVIN RILEY JR. DMD PA

Doing Business As: CRESCENT BEACH DENTAL

Classification: Dentist - 122300000X
Entity Type: Organization
Address:
602 17TH AVE SO
NORTH MYRTLE BEACH, SC
ZIP 29582
Phone: (843) 272-1121
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D. CALVIN RILEY JR. DMD PA is a dentist in North Myrtle Beach, SC. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. D. CALVIN RILEY JR. DMD PA NPI is 1013964147. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Crescent Beach Dental.

The provider's business location address is:

602 17TH AVE SO
NORTH MYRTLE BEACH, SC
ZIP 29582
Phone: (843) 272-1121
Fax: (843) 272-9976

The provider's authorized official is Don Calvin Riley .
The authorized official title is Dentist Owner and has the following contact phone number (843) 272-1121.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 8/12/2008.


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
1122300000XDentist2681SOUTH 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
1ZA9478MEDICAIDSOUTH CAROLINA
2ZZ2681MEDICAIDSOUTH 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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