Seaside Pediatric Dental Associates
Dentist, Pediatric Dentistry in Murrells Inlet, SC. Organization (NPI-2).
NPI number1578084331
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1578084331
- Entity type
- Organization (NPI-2)
- Legal business name
- Seaside Pediatric Dental Associates
- Organization subpart
- No
- Enumeration date
- Jul 3, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Practice location
4410 Highway 17 Unit B6Murrells Inlet, SC 29576
Phone 423-741-9078
Mailing address
4410 Highway 17 Unit B6Murrells Inlet, SC 29576-6434
Phone 423-741-9078
Authorized official
Matthew Tillman
Co-Owner
8436515437
Is something wrong?
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.
Other Pediatric Dentistry providers in Murrells Inlet, SC
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.