DR. BENNIE L SMITH (NPI# 1740444645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740444645 |
| Entity Type | Individual |
| Full Name | DR. BENNIE L SMITH |
| Credential | DDS |
| Practice Address |
7724 N Kings Hwy Myrtle Beach SC 29572-3041 |
| Mailing Address |
Po Box 547 Little River SC 29566-0547 |
| Practice Telephone | 8436638000 |
| Practice Fax Number | 8436638109 |
| Mailing Telephone | 8436638000 |
| Mailing Fax Number | 8436638109 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2013-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4501 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZA9656 | 05 | |
| NC | 8902086 | 05 |
| Street Address |
7724 N KINGS HWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29572-3041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700837853 | Thomas F. Garland | Family Medicine | 7724 N Kings Hwy, Myrtle Beach, SC 29572-3041 | 2006-05-13 |
| 1346641131 | Dawn Marie Coffin | Nurse Practitioner | 7724 N Kings Hwy, Myrtle Beach, SC 29572-3041 | 2014-09-11 |
| 1003035965 | Wilma J Spencer | Nurse Practitioner | 7724 N Kings Hwy, Myrtle Beach, SC 29572-3041 | 2007-04-25 |
| 1184783284 | Little River Medical Center, Inc. | Family Medicine | 7724 N Kings Hwy, Myrtle Beach, SC 29572-3041 | 2006-12-06 |
| 1063429645 | Deborah Ann Klick | Social Worker | 7724 N Kings Hwy, Myrtle Beach, SC 29572-3041 | 2006-08-03 |
| 1194778423 | Paul S Cohen | Internal Medicine | 7724 N Kings Hwy, Myrtle Beach, SC 29572-3041 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684576 | Matthew David Zeuschner | Nurse Practitioner | 107 Woodwind Court, Myrtle Beach, SC 29572 | 2020-09-16 |
| 1578191789 | Julia Ruth Nelson | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-04-01 |
| 1407484835 | Justin Schevers | Student in an Organized Health Care Education/Training Program | 802 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-31 |
| 1922636919 | Darian Michael Quigg | Student in an Organized Health Care Education/Training Program | 809 82nd Street Parkway, Myrtle Beach, SC 29572 | 2020-03-27 |
| 1881221141 | Jonathan Alden Bryan | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2020-03-26 |
| 1215575238 | Polaris Skin Diagnostics, LLC | Dermatology | 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572 | 2019-12-20 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| 1154882975 | Michael Kouandjio | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-26 |
| 1154880102 | Dylan Chase Morgan | Internal Medicine | Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 | 2019-03-19 |
| 1710446828 | David Redding Kingery Jr. | Student in an Organized Health Care Education/Training Program | Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 | 2019-03-18 |
| Find all providers in zip 29572 | ||||
| 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 | 29572 |
Please comment or provide details below to improve the information on DR. BENNIE L SMITH.
| 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.