Active NPI
Sean T Ganther, DDS
- Dentist
- Myrtle Beach, SC
National Provider Identifier
1295596344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DGD10910
- Practice address
- 1209 N Retail CT
Myrtle Beach, SC 29577-9626 - Phone
- (415) 502-5800
- NPI assigned
- Jan 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DGD10910 | SC | Primary |
Addresses
Primary practice location
1209 N Retail CT
Myrtle Beach, SC 29577-9626
Mailing address
200 Tadley Way
Mailbox 106
Myrtle Beach, SC 29588
Phone (415) 370-9940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DGD10910 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1295596344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 TADLEY WAY",
"address_2": "MAILBOX 106",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "29588",
"telephone_number": "415-370-9940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 N RETAIL CT",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295779626",
"telephone_number": "415-502-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANTHER",
"first_name": "SEAN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-17",
"last_updated": "2024-08-05",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "DGD10910",
"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 Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.