Gamecock Dentistry PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GAMECOCK DENTISTRY PA

Practice address

968 International Dr
Myrtle Beach, SC 29579-3488

Phone

(843) 903-8800

NPI assigned

Jun 13, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Courtney Holmes Suggs, DMDNPI 1750768693

Title

Dentist

Phone

(843) 798-1662

Specialties & licenses 2

Addresses

Other names 1

• Beach Family Dentistry Doing business as

Locations

Practitioners 1

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

• Courtney Holmes Suggs, D.M.D.

  • General Practice Dentistry
  • Myrtle Beach, SC
  • NPI 1750768693
  NPD Authorized official

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1417517384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 INTERNATIONAL DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793488",
            "telephone_number": "843-903-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 INTERNATIONAL DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793488",
            "telephone_number": "843-903-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMECOCK DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "SUGGS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "HOLMES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-798-1662",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Galton, LPC
• Gamal S Boutros MD
• Michael P Gambacorta, FNP
• Gamble Dentalsmart PC
• Christine Laura Gamble, M.D.
• Lena Gammel
• William R. Gammon, MD
• Savan Hitesh Gandhi, MD
• Sean T Ganther, DDS
• Andrei Gantsa

• 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 Nov 20, 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.

Verify at the official NPI Registry.