Carolina Family Dental

Organization Active NPI Dentist · Little River, SC

NPI 1043626005 · NPPES record last updated Jul 10, 2014

Key facts

NPI
1043626005
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
3622 (SC)
Legal business name
CAROLINA FAMILY DENTAL
Practice address
3702 Sea Mountain Hwy
Little River, SC 29566-7860
Phone
(843) 734-0212
Fax
(843) 734-0215
NPI assigned
Jul 10, 2014
Organization subpart
No

Authorized official

Name
Mrs. Tonya Rene Suggs
Title
Office
Phone
(843) 734-0212

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

3702 Sea Mountain Hwy
Little River, SC 29566
Phone (843) 734-0212

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193200000X MULTI-SPECIALTY GROUP
122300000X 3622 SC Yes

Addresses

Primary practice location

3702 Sea Mountain Hwy
Little River, SC 29566-7860

Mailing address

3702 Sea Mountain Hwy
Little River, SC 29566-7860
Phone (843) 734-0212

Other providers in Little River, SC

All providers in Little River, SC · Dentist in South Carolina

Sources for this page

Verify at the official NPI Registry.