DENTAL PROFESSIONALS OF SC, PC (NPI# 1306248422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306248422 |
| Entity Type | Organization |
| Organization Name | DENTAL PROFESSIONALS OF SC, PC |
| Other Organization Name | NORTH MYRTLE BEACH DENTISTRY |
| Practice Address |
1586 Hwy 17n North Myrtle Beach SC 29582 |
| Practice Telephone | 8432924238 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |
| Authorized Official Name | KENDRA WALKER (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175408312 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF SC, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| North Myrtle Beach Dentistry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467835942 | Dental Professionals of Sc, PC | Dentist | 132 Mcneely Rd, Powdersville, SC 29673-9430 | 2015-07-02 |
| 1477964112 | Dental Professionals of Sc, PC | Dentist | 3500 Clemson Blvd, Anderson, SC 29621-1313 | 2014-05-15 |
| 1497172076 | Dental Professionals of Sc, PC | Dentist | 1751 Pleasant Road Suite101, Fort Mill, SC 29708 | 2014-03-21 |
| 1780012591 | Dental Professionals of Sc, PC | Dentist | 5075 Calhoun Memorial Hwy, Easley, SC 29640-3837 | 2013-10-15 |
| 1386071181 | Dental Professionals of Sc, PC | Dentist | 1494 West Wade Hampton Blvd, Suite D, Greer, SC 29650-1129 | 2013-10-11 |
| 1497166227 | Dental Professionals of Sc, PC | Dentist | 5551 Sunset Blvd, Lexington, SC 29072-9132 | 2014-05-14 |
| Street Address |
1586 HWY 17N |
| City | NORTH MYRTLE BEACH |
| State | SC |
| Zip Code | 29582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942812656 | J&r Angels Care Services LLC | In Home Supportive Care | North Myrtle Beach Business Center Ste 115 1019 Hwy 17s, North Myrtle Beach, SC 29582 | 2020-08-24 |
| 1215561865 | Janella Jackson | In Home Supportive Care | North Myrtle Beach Business Center Suite 115, 1019 Hwy 17s, North Myrtle Beach, SC 29582 | 2020-02-22 |
| 1780147504 | Cherry Grove Compounding, LLC | Pharmacy | 1124-2 Sea Mountain Highway, North Myrtle Beach, SC 29582 | 2019-04-09 |
| 1598125437 | Jebediah S Christy-north Myrtle Beach Pllc | Dentist | 1376 Hwy 17 N, North Myrtle Beach, SC 29582 | 2016-03-04 |
| 1972907277 | John Soileau | Veterinarian | 1530 Old Highway 17 N, North Myrtle Beach, SC 29582 | 2014-10-15 |
| 1477899680 | Jessica Ober | Physical Therapist | 1100 David St., Apt #1208, North Myrtle Beach, SC 29582 | 2012-12-14 |
| 1568711646 | Erin Dixon | Pharmacist | 781 Main Street, North Myrtle Beach, SC 29582 | 2012-09-05 |
| 1972875722 | Medical Comfort Systems | Durable Medical Equipment & Medical Supplies | 1108 Sea Mountain Hwy Ste 3, North Myrtle Beach, SC 29582 | 2012-02-08 |
| 1295023869 | Jenna Lynne Dukes | Pharmacist | 1201 Sea Mountain Hwy, North Myrtle Beach, SC 29582 | 2011-07-18 |
| 1356633036 | Michael Paul Rivers | Chiropractor | 702-5 6th Avenue South, North Myrtle Beach, SC 29582 | 2011-05-12 |
| Find all providers in zip 29582 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144742446 | Alton Thomas | Dentist | 1590 Highway 17 N, North Myrtle Beach, SC 29582-2552 | 2017-07-09 |
| 1598125437 | Jebediah S Christy-north Myrtle Beach Pllc | Dentist | 1376 Hwy 17 N, North Myrtle Beach, SC 29582 | 2016-03-04 |
| 1740332774 | Evander Charles Arnette | Dentist | 803 2nd Ave N, North Myrtle Beach, SC 29582-3016 | 2007-01-18 |
| 1316029747 | William T. Davis | Dentist | 1240 Highway 17 S, North Myrtle Beach, SC 29582-3707 | 2006-10-19 |
| 1689194748 | Milburn Dentistry, LLC | Dentist | 803 2nd Ave N, North Myrtle Beach, SC 29582-3016 | 2017-06-20 |
| 1477806206 | Dental Professionals of South Carolina | Dentist | 1004 Sea Mountain Hwy, North Myrtle Beach, SC 29582-2211 | 2012-10-17 |
| 1316920044 | Hilton M Dickson | Dentist | 418 Main St, North Myrtle Beach, SC 29582-3024 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564046 | Leishman Dental | Dentist | 121 N Pine St, Batesburg Leesville, SC 29006-1974 | 2020-10-07 |
| 1265039754 | Ravi Bhupen Patel | Dentist | 1755 Central Park Rd, Unit 1107, Charleston, SC 29412-2846 | 2020-10-07 |
| 1447857289 | Rick & Pamela Dhillon Dmd - Sda LLC | Dentist | 3115a Brushy Creek Rd, Greer, SC 29650-0903 | 2020-10-05 |
| 1598372864 | Dental Professional of South Carolina, P.C. | Dentist | 1417 Folly Rd Ste 402, Charleston, SC 29412-9737 | 2020-09-30 |
| 1043827314 | Dental Professionals of South Carolina, P.C. | Dentist | 1767 Heckle Blvd Ste 102, Rock Hill, SC 29732-1878 | 2020-09-30 |
| 1497361307 | Cane Bay Family Dentistry - Goose Creek LLC | Dentist | 129 Plantation North Blvd, Unit D, Goosecreek, SC 29445-2944 | 2020-09-17 |
| 1851906028 | Carolina Park Family Dentistry LLC | Dentist | 3520 Park Avenue Blvd., Suite 100, Mount Pleasant, SC 29466-2946 | 2020-09-14 |
| 1952915027 | Vdp Okatie LLC | Dentist | 10 William Pope Drive, Suite #2, Okatie, SC 29909 | 2020-09-04 |
| 1881208296 | Amanda Ho Van Garrett | Dentist | 122 S Goose Creek Blvd Ste A, Goose Creek, SC 29445-3136 | 2020-09-02 |
| 1871107409 | Ashley Czechner | Dentist | 11990 Highway 17 Byp Ste 8, Murrells Inlet, SC 29576-9379 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | NORTH MYRTLE BEACH |
| Zip Code | 29582 |
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| 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.