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Contact Information

MYRTLE BEACH ENDODONTICS, LLC
350 HILTON RD STE 201
MYRTLE BEACH, SC29572-6623
 Phone: 843-497-3707
 Fax: 843-497-3717
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for MYRTLE BEACH ENDODONTICS, LLC

NPI Number 1679282933
LBN Legal business name MYRTLE BEACH ENDODONTICS, LLC
Authorized official WILLIAM CROSBY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2022
Last updated 06/06/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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