Organization Active NPI

Horry-Georgetown Technical College

  • General Practice Dentistry
  • Myrtle Beach, SC
National Provider Identifier
1093075939
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HORRY-GEORGETOWN TECHNICAL COLLEGE
Practice address
3500 Pampas Dr
BLDG. 1000
Myrtle Beach, SC 29577-5168
Phone
(843) 349-5279
Fax
(843) 349-7532
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Philip Noel Render, DMD
Title
Dentist, Dean of Academic Affairs
Phone
(843) 477-2171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3500 Pampas Dr
BLDG. 1000
Myrtle Beach, SC 29577-5168

Mailing address

PO Box 261966
Conway, SC 29528-6066
Phone (843) 349-5279

National Provider Directory

National Provider Directory

Locations

3500 Pampas Dr
Bldg 1000
Myrtle Beach, SC 29577
Phone (843) 349-5279

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1093075939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261966",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295286066",
            "telephone_number": "843-349-5279",
            "fax_number": "843-349-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 PAMPAS DR",
            "address_2": "BLDG. 1000",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775168",
            "telephone_number": "843-349-5279",
            "fax_number": "843-349-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORRY-GEORGETOWN TECHNICAL COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "RENDER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "DENTIST, DEAN OF ACADEMIC AFFAIRS",
        "authorized_official_telephone_number": "843-477-2171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.