| Beach Dental Associates | |
|
9654 N Kings Hwy Suite N Myrtle Beach SC 29572-4040 | |
| (843) 692-9313 | |
| (843) 692-2584 |
| Full Name | Beach Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 9654 N Kings Hwy, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Marlene M Lucas (OFFICE MANAGER) |
| Authorized Official Contact | 8436929313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Dental Associates 9654 N Kings Hwy Suite N Myrtle Beach SC 29572-4040 Ph: (843) 692-9313 | Beach Dental Associates 9654 N Kings Hwy Suite N Myrtle Beach SC 29572-4040 Ph: (843) 692-9313 |
| NPI Number | 1265621643 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 10/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265621643 | NPI | - | NPPES |
| ZA9825 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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