Dental Professionals Of South Carolina, P.C.
Dentist, General Practice in Myrtle Beach, SC. Organization (NPI-2).
NPI number1760103535
StatusActive
Last updated in NPPESSep 8, 2022
Details
- NPI
- 1760103535
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Professionals Of South Carolina, P.C.
- Organization subpart
- Yes
- Enumeration date
- Sep 8, 2022
- Certification date
- Sep 8, 2022
- Last updated
- Sep 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
940 Wood Duck Dr Ste 104Myrtle Beach, SC 29577-9412
Phone 843-213-1194
Mailing address
940 Wood Duck Dr Ste 104Myrtle Beach, SC 29577-9412
Phone 843-213-1194
Authorized official
Belinda Huerta
Credentialing Coordinator
2175402100
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