| Grand Strand Dentistry | |
|
1571 Highway 544 Conway SC 29526-8450 | |
| (704) 930-8910 | |
| Not Available |
| Full Name | Grand Strand Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1571 Highway 544, Conway, South Carolina |
| Authorized Official Name and Position | Bradley Scott Johnson (GENERAL DENTIST) |
| Authorized Official Contact | 7049308910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Strand Dentistry 7404 Glacier Dr El Paso TX 79911-3154 Ph: (704) 930-8910 | Grand Strand Dentistry 1571 Highway 544 Conway SC 29526-8450 Ph: (704) 930-8910 |
| NPI Number | 1104766740 |
|---|---|
| Provider Enumeration Date | 04/01/2026 |
| Last Update Date | 04/01/2026 |
| Certification Date | 04/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104766740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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