Walton Drive Dental Health Clinic, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WALTON DRIVE DENTAL HEALTH CLINIC, PC

Doing business as

Pearl Dentistry

Practice address

4410 Highway 17 Unit B5
Murrells Inlet, SC 29576-6434

Phone

(843) 557-5396

NPI assigned

Sep 9, 2018

Last updated

Sep 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Charles

Title

Manager

Phone

(843) 557-5396

Specialties & licenses 1

Addresses

Other names 1

• Pearl Dentistry Doing business as

Locations

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

{
    "created_epoch": "1536451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536451200000",
    "number": "1346723061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 DELBOURNE LN",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296517196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 HIGHWAY 17 UNIT B5",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295766434",
            "telephone_number": "843-557-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTON DRIVE DENTAL HEALTH CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-09",
        "last_updated": "2018-09-09",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-557-5396"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; 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.