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Contact Information

INNOVATIVE ENDODONTICS MB
3033 NEWCASTLE LOOP
MYRTLE BEACH, SC29588
 Phone: 843-900-3414
 Fax: 843-377-8695
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for INNOVATIVE ENDODONTICS MB · (Female)

NPI Number 1912746272
Status Active
Credentials
Entity Individual
Enumeration date 05/24/2024
Last updated 05/24/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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