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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

NPI Number 1912746272
LBN Legal business name INNOVATIVE ENDODONTICS MB
Authorized official MONICA ESTES - (OWNER, ENDODONTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2024
Last updated 05/24/2024 - About 2 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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