| Adult And Childrens Dentistry At Myrtle Beach Llc | |
|
4032 River Oaks Dr Ste 2 Myrtle Beach SC 29579-6696 | |
| (843) 903-8800 | |
| (843) 903-8575 |
| Full Name | Adult And Childrens Dentistry At Myrtle Beach Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4032 River Oaks Dr Ste 2, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Courtney Suggs (DENTIST) |
| Authorized Official Contact | 8439038800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult And Childrens Dentistry At Myrtle Beach Llc 4032 River Oaks Dr Ste 2 Myrtle Beach SC 29579-6696 Ph: () - | Adult And Childrens Dentistry At Myrtle Beach Llc 4032 River Oaks Dr Ste 2 Myrtle Beach SC 29579-6696 Ph: (843) 903-8800 |
| NPI Number | 1417464371 |
|---|---|
| Provider Enumeration Date | 01/01/2018 |
| Last Update Date | 01/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417464371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8861 (South Carolina) | Secondary |
| 1223G0001X | Dentist - General Practice | 3446 (South Carolina) | Primary |
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