Conway Family Dentistry, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CONWAY FAMILY DENTISTRY, LLC

Practice address

611 Church St
Conway, SC 29526-4823

Phone

(843) 248-4115

NPI assigned

Sep 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Craig Lee Milburn, DMDNPI 1699973800

Title

Member

Phone

(864) 367-6928

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Conway Family Dentistry Doing business as

Locations

Practitioners 2

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

• Craig Lee Milburn, D.M.D.

  • Dentist
  • North Myrtle Beach, SC
  • NPI 1699973800
  NPD Authorized official
• James Earl Lee, D.D.S.

  • General Practice Dentistry
  • Conway, SC
  • NPI 1124046271
  NPD (past)

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1386295012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 CHURCH ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264823",
            "telephone_number": "843-248-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CHURCH ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264823",
            "telephone_number": "843-248-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "MILBURN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "864-367-6928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC STATE LICENSE",
            "identifier": "4356",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conway Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Conway Adult Day Care at Creel St.
• Conway Adult Medicine
• Conway Anesthesia Associates
• Conway Anesthesia Services Inc
• Conway Chiropractic Center PC
• Conway Health Care LLC
• Conway Hospital Aps
• Conway Hospital Community Services
• Conway Hospital Community Services
• Conway Hospital Community Services

• Dental Clinic/Center in Conway, SC
• Providers in Conway, 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 24, 2019; 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.