Haneen Anbarserri, DMD
Individual provider Active NPI General Practice Dentistry · Myrtle Beach, SC
NPI 1417520362 · NPPES record last updated Jul 19, 2021
Key facts
- NPI
- 1417520362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 10008 (SC)
- Practice address
- 1430 S Commons Dr
Myrtle Beach, SC 29588-8087 - Phone
- (843) 712-7308
- NPI assigned
- Jul 19, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241008003239 | SC | Order and Referring Only - Dentist |
9133650617 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professionals of South Carolina, P.C. | General Practice | Current |
Accepting new patients |
| Bishopville Dental LLC | Current | Accepting new patients |
Locations
1430 S Commons Dr
Myrtle Beach, SC 29588
Phone (843) 712-7308
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10008 | SC | Yes |
Addresses
Primary practice location
1430 S Commons Dr
Myrtle Beach, SC 29588-8087
Mailing address
257 Columbia Ave
Cliffside Park, NJ 07010-2499
Phone (201) 994-6117
Other providers in Myrtle Beach, SC
- American Health Imaging of South Carolina, LLC
- Toni Ammerman
- Amnesty Health Group LLC
- Elizabeth Amundson
- Paul Anama
- Anchor of Hope Counseling Services LLC
- Anchorpoint Psychiatry & Wellness
- Jason M Anders
- Samuel Nels Andersen
- Alicia Williams Anderson
All providers in Myrtle Beach, SC · General Practice Dentistry in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.