Individual provider · Type 1 NPI

Brock Dwyer

Dentist · Myrtle Beach, SC

NPI number 1063308294 Active

Practice location

1209 N Retail Ct
Myrtle Beach, SC 29577-9626

Call (843) 874-4060 Map

Mailing address

902 W 2nd Ave
Windermere, FL 34786-8517

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	111555 (SC)

Dentist: 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 requiremen…

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About NPI 1063308294

Brock Dwyer's National Provider Identifier is 1063308294, issued on Jun 16, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jun 16, 2025.