Organization · Type 2 NPI

Dental Professional of South Carolina, P.c.

General Practice Dentistry · Myrtle Beach, SC

NPI number 1104467224 Active

Practice location

2749 Agnes Ln
Myrtle Beach, SC 29577-2029

Fax (843) 492-5993

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

Linh Phuong Nguyen, DDSDentist Myrtle Beach, SC NPI 1407533896

Other general practice dentistry providers in Myrtle Beach

See all in Myrtle Beach →

NPI record

NPI: 1104467224
Entity type: Organization (Type 2)
Issued: Sep 30, 2019
Last updated: Dec 12, 2019
Status: Active
Subpart: Yes of Dental Professional of South Carolina, P.c.

Other names

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Farrow Parkway Dental Care · doing business as
Farrow Parkway Dental Care · doing business as

Authorized official

Jessica Britt
Credentialing Coordinator
(217) 540-5100

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 1104467224

Dental Professional of South Carolina, P.c.'s National Provider Identifier is 1104467224, issued on Sep 30, 2019. 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 Dec 12, 2019.