Organization · Type 2 NPI

Dental Professionals of South Carolina, PC

General Practice Dentistry · Myrtle Beach, SC

NPI number 1053706747 Active

Practice location

100 Debo Dr Unit 110
Myrtle Beach, SC 29579-4921

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

Another provider at this address

Chirag PatelGeneral Practice Dentistry Myrtle Beach, SC NPI 1710628417

Other general practice dentistry providers in Myrtle Beach

See all in Myrtle Beach →

NPI record

NPI: 1053706747
Entity type: Organization (Type 2)
Issued: Mar 31, 2015
Last updated: Mar 31, 2015
Status: Active
Subpart: Yes of Dental Professionals of South Carolina, PC

Other names

<unavail>
Smiles at Carolina Forest · doing business as

Authorized official

Heather Pruemer
Credentialing
(217) 540-8434

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053706747

Dental Professionals of South Carolina, PC's National Provider Identifier is 1053706747, issued on Mar 31, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Myrtle Beach, SC. The record was last updated on Mar 31, 2015.