Market Common Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3124 Issued in SC

Legal business name

MARKET COMMON DENTISTRY, PC

Practice address

1342 Farrow Pkwy
Myrtle Beach, SC 29577-1668

Phone

(843) 293-6700

Fax

(843) 293-6740

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

James E Mills, DDSNPI 1700046109

Title

President Owner

Phone

(843) 293-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• James E Mills

  • General Practice Dentistry
  • Myrtle Beach, SC
  • NPI 1700046109
  NPD (past) Authorized official
• Christopher J Latvis, DDS

  • General Practice Dentistry
  • Myrtle Beach, SC
  • NPI 1508916602
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1376622837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 FARROW PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771668",
            "telephone_number": "843-293-6700",
            "fax_number": "843-293-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 FARROW PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771668",
            "telephone_number": "843-293-6700",
            "fax_number": "843-293-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKET COMMON DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "843-293-6700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3124",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ewa B Marcinkowska, M.D.
• Iacob Marcovici, MD
• Matthew Marcus, RN
• Philip Mardock
• Courtney Renee Mariner, DO
• Karyn Collingwood Markley, MD
• Elena Markova
• Holly Behr Marlowe, APRN
• Katsiaryna Maroz, PHARMD
• Julia Marshall, CCC-SLP

• General Practice Dentistry in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.