GAMECOCK DENTISTRY PA (NPI# 1417517384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417517384 |
| Entity Type | Organization |
| Organization Name | GAMECOCK DENTISTRY PA |
| Practice Address |
4032 River Oaks Dr Ste 2 Myrtle Beach SC 29579-6696 |
| Practice Telephone | 8439038800 |
| Mailing Telephone | 8439038800 |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |
| Authorized Official Name | MRS. COURTNEY HOLMES SUGGS (DENTIST) |
| Authorized Official Telephone | 8437981662 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Adult and Children's Dentistry at Carolina Forest | Doing Business As Name - Organization |
| Street Address |
4032 RIVER OAKS DR STE 2 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-6696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093096984 | Adult and Children's Dentistry At Carolina Forest Inc | Dentist | 4032 River Oaks Dr Ste 2, Myrtle Beach, SC 29579-6696 | 2011-09-06 |
| 1417464371 | Adult and Childrens Dentistry At Myrtle Beach LLC | Dentist | 4032 River Oaks Dr Ste 2, Myrtle Beach, SC 29579-6696 | 2018-01-01 |
| 1750768693 | Courtney Holmes Suggs | Dentist | 4032 River Oaks Dr Ste 2, Myrtle Beach, SC 29579 | 2015-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1104243740 | Sparkle Dental Center Inc. | Dentist | 8848 Highway 17 Byp S, Myrtle Beach, SC 29588-7739 | 2014-03-20 |
| 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 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
Please comment or provide details below to improve the information on GAMECOCK DENTISTRY PA.
| 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.