| Surfside Family Dentistry | |
|
1665 Glenns Bay Rd Surfside Beach SC 29575-4836 | |
| (843) 215-6080 | |
| (888) 636-7841 |
| Full Name | Surfside Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1665 Glenns Bay Rd, Surfside Beach, South Carolina |
| Authorized Official Name and Position | Scott J Willis (MEMBER) |
| Authorized Official Contact | 8436520011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surfside Family Dentistry 11919 Plaza Dr Murrells Inlet SC 29576-9356 Ph: (843) 652-0011 | Surfside Family Dentistry 1665 Glenns Bay Rd Surfside Beach SC 29575-4836 Ph: (843) 215-6080 |
| NPI Number | 1316216500 |
|---|---|
| Provider Enumeration Date | 12/19/2011 |
| Last Update Date | 12/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316216500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1693 (South Carolina) | Primary |
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