NPIMap

Organization Active NPI

Adult and Childrens Dentistry at Myrtle Beach LLC

Doing business as Adult and Childrens Dentistry at Carolina Forest

  • General Practice Dentistry
  • Myrtle Beach, SC
National Provider Identifier
1417464371
Registry record updated Jan 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3446 Issued in SC
Legal business name
ADULT AND CHILDRENS DENTISTRY AT MYRTLE BEACH LLC
Doing business as
Adult and Childrens Dentistry at Carolina Forest
Practice address
4032 River Oaks Dr Ste 2
Myrtle Beach, SC 29579-6696
Phone
(843) 903-8800
Fax
(843) 903-8575
NPI assigned
Jan 1, 2018
Last updated
Jan 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2018

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

Authorized official

Name
Dr. Courtney Suggs, DMDNPI 1750768693
Title
Dentist
Phone
(843) 903-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8861 SC
General Practice Dentistry 1223G0001X 3446 SC Primary

Addresses

Primary practice location

4032 River Oaks Dr Ste 2
Myrtle Beach, SC 29579-6696

Mailing address

4032 River Oaks Dr Ste 2
Myrtle Beach, SC 29579-6696

Other names 1

  • Adult and Childrens Dentistry at Carolina Forest Doing business as

National Provider Directory

National Provider Directory

Locations

4032 River Oaks Dr
Ste 2
Myrtle Beach, SC 29579
Phone (843) 798-1662

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1514764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514764800000",
    "number": "1417464371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 RIVER OAKS DR STE 2",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4032 RIVER OAKS DR STE 2",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796696",
            "telephone_number": "843-903-8800",
            "fax_number": "843-903-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT AND CHILDRENS DENTISTRY AT MYRTLE BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-01",
        "last_updated": "2018-01-01",
        "status": "A",
        "authorized_official_last_name": "SUGGS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-903-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8861",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult and Childrens Dentistry at Carolina Forest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 1, 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.