Jordan Brown
Individual provider Active NPI General Practice Dentistry · Murrells Inlet, SC
NPI 1154856961 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1154856961
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9095 (SC)
- Practice address
- 12307 Highway 707
Murrells Inlet, SC 29576-9740 - Phone
- (843) 651-6776
- NPI assigned
- Apr 29, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9095 | SC | Yes |
Addresses
Primary practice location
12307 Highway 707
Murrells Inlet, SC 29576-9740
Mailing address
4908 Oat Fields Dr
Myrtle Beach, SC 29588-7968
Phone (801) 471-8220
Other providers in Murrells Inlet, SC
- Karen Brogna
- Jessica Brooks
- Christopher Robert Brown
- Frances Brown
- Joey Victor Brown
- Rhonda G Brown
- Dennis Charles Burbage Jr.
- Lindsay Mary Burke
- Kaitlyn Burnett
- Allison Hope Bussey
All providers in Murrells Inlet, SC · General Practice Dentistry in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.