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ADULT AND CHILDRENS DENTISTRY AT MYRTLE BEACH LLC NPI 1417464371


NPI Information

NPI: 1417464371
Provider Name: ADULT AND CHILDRENS DENTISTRY AT MYRTLE BEACH LLC

Doing Business As: ADULT AND CHILDRENS DENTISTRY AT CAROLINA FOREST

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4032 RIVER OAKS DR STE 2
MYRTLE BEACH, SC
ZIP 29579
Phone: (843) 903-8800
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ADULT AND CHILDRENS DENTISTRY AT MYRTLE BEACH 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. ADULT AND CHILDRENS DENTISTRY AT MYRTLE BEACH LLC NPI is 1417464371. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Adult And Childrens Dentistry At Carolina Forest.

The provider's business location address is:

4032 RIVER OAKS DR STE 2
MYRTLE BEACH, SC
ZIP 29579-696
Phone: (843) 903-8800
Fax: (843) 903-8575

The provider's authorized official is Courtney Suggs .
The authorized official title is Dentist and has the following contact phone number (843) 903-8800.

The enumeration date for this NPI number is 1/1/2018 and was last updated on 1/1/2018.


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 Practice8861SOUTH CAROLINANo
21223G0001XDentistGeneral Practice3446SOUTH CAROLINAYes

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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