Organization · Type 2 NPI

Dental Professionals of Sc, PC

General Practice Dentistry · North Myrtle Beach, SC

NPI number 1306248422 Active

Practice location

1586 Hwy 17N
North Myrtle Beach, SC 29582

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.

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NPI record

NPI: 1306248422
Entity type: Organization (Type 2)
Issued: Sep 19, 2014
Last updated: Sep 19, 2014
Status: Active
Subpart: Yes of Dental Professionals of Sc, PC

Other names

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North Myrtle Beach Dentistry · doing business as

Authorized official

Kendra Walker
Credentialing Coordinator
(217) 540-8312

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 1306248422

Dental Professionals of Sc, PC's National Provider Identifier is 1306248422, issued on Sep 19, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in North Myrtle Beach, SC. The record was last updated on Sep 19, 2014.