GAMECOCK DENTISTRY PA NPI 1417517384

NPI Information

  • NPI: 1417517384
  • Provider Name: GAMECOCK DENTISTRY PA
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: BEACH FAMILY DENTISTRY
  • Address: 968 INTERNATIONAL DR
    MYRTLE BEACH, SC
    ZIP 29579
  • Phone: (843) 903-8800

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NPI Details

GAMECOCK DENTISTRY PA 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. GAMECOCK DENTISTRY PA NPI is 1417517384. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Beach Family Dentistry.

The provider's business location address is:

968 INTERNATIONAL DR
MYRTLE BEACH, SC
ZIP 29579-488
Phone: (843) 903-8800

The provider's authorized official is Courtney Holmes Suggs .
The authorized official title is Dentist and has the following contact phone number (843) 798-1662.

The enumeration date for this NPI number is 6/13/2019 and was last updated on 11/20/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes
2261QD0000XClinic/CenterDentalNo

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: 11/21/2025

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