SPARKLE DENTAL CENTER INC.


Address: 8848 Highway 17 Byp S, Myrtle Beach, SC 29588-7739
Phone: 8436506700

SPARKLE DENTAL CENTER INC. (NPI# 1104243740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104243740
Entity Type Organization
Organization Name SPARKLE DENTAL CENTER INC.
Practice Address 8848 Highway 17 Byp S
Myrtle Beach
SC 29588-7739
Mailing Address Po Box 1861
Georgetown
SC 29442-1861
Practice Telephone 8436506700
Mailing Telephone 8438333555
Enumeration Date 2014-03-20
Last Update Date 2014-03-20
Authorized Official Name DR. CAMERON JULIUS BANKS (PRESIDENT)
Authorized Official Telephone 8438333555
Authorized Official Credential PSY.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Office Location

Street Address 8848 HIGHWAY 17 BYP S
City MYRTLE BEACH
State SC
Zip Code 29588-7739

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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891326617 Southern Oak Dental, LLC Dentist 1017 Highway 501, Myrtle Beach, SC 29577-3820 2020-01-30
1104467224 Dental Professional of South Carolina, P.C. Dentist 2749 Agnes Ln, Myrtle Beach, SC 29577-2029 2019-09-30
1669947511 Forest Crossing Family Dental, LLC Dentist 4999 Carolina Forest Blvd Ste 14, Myrtle Beach, SC 29579-3588 2018-10-08
1740708981 Dental Professional of South Carolina, P.C. Dentist 568 International Dr, Myrtle Beach, SC 29579 2017-09-08
1942667100 Gamble Dentalsmart PC Dentist 1009 Highway 501, #70, Myrtle Beach, SC 29577-3820 2016-01-19
1053706747 Dental Professionals of South Carolina, PC Dentist 100 Debo Dr Unit 110, Myrtle Beach, SC 29579-4921 2015-03-31
1740689967 Kings Highway Dental Health Center, P.C. Dentist 1317 N Kings Hwy # 106, Myrtle Beach, SC 29577-3636 2014-08-14
1093075939 Horry-georgetown Technical College Dentist 3500 Pampas Dr, Bldg. 1000, Myrtle Beach, SC 29577-5168 2012-05-25
1255663019 Mark Conard Dentist 4382 Oleander Drive, Myrtle Beach, SC 29577 2010-02-04
1720223506 Stephen M. Aiken, D.m.d., LLC Dentist 4932 Hwy 17 Byp S, Myrtle Beach, SC 29588-1619 2008-12-09
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Competitor

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City MYRTLE BEACH
Zip Code 29588

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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