Dr. Ernest Lloyd Myrick Jr., D.M.D.
Dentist, General Practice in Clover, SC. Individual provider (NPI-1).
NPI number1376564872
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1376564872
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ernest Lloyd Myrick Jr.
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 1860 | SC | Yes |
Practice location
203 Church StClover, SC 29710-1008
Phone 803-222-4518 · Fax 803-222-4598
Mailing address
790 Grasmere LnClover, SC 29710-8676
Phone 803-222-4518 · Fax 803-222-4598
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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- Lachelle Hendley Moore, DMDNPI 1235427972
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All 12 General Practice Dentistry providers in Clover · All 169 providers in Clover
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