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Contact Information

ADULT AND CHILDRENS DENTISTRY AT MYRTLE BEACH LLC
4032 RIVER OAKS DR STE 2
MYRTLE BEACH, SC29579-6696
 Phone: 843-903-8800
 Fax: 843-903-8575
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADULT AND CHILDRENS DENTISTRY AT MYRTLE BEACH LLC

NPI # 1417464371
LBN Legal business name ADULT AND CHILDRENS DENTISTRY AT MYRTLE BEACH LLC
Authorized official COURTNEY SUGGS - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/01/2018
Last updated 01/01/2018 - About 8 years ago
Identifiers
SC License # 3446
SC License # 8861
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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