Sawgrass Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

791 PD Issued in SC

Legal business name

SAWGRASS PEDIATRIC DENTISTRY, LLC

Practice address

210 Village Center Blvd
Suite 130
Myrtle Beach, SC 29579-6706

Phone

(843) 236-7500

Fax

(843) 236-7550

NPI assigned

Jul 17, 2013

Last updated

Jul 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan R Smith, D.M.DNPI 1285909010

Title

Pediatric Dentist

Phone

(843) 236-7500

Specialties & licenses 1

Addresses

Locations

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.

• Ryan Richardson Smith, D.M.D

  • Pediatric Dentistry
  • Myrtle Beach, SC
  • NPI 1285909010
  NPD (past) Authorized official

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1427499540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 VILLAGE CENTER BLVD",
            "address_2": "SUITE 130",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796706",
            "telephone_number": "843-236-7500",
            "fax_number": "843-236-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 VILLAGE CENTER BLVD",
            "address_2": "SUITE 130",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295796706",
            "telephone_number": "843-236-7500",
            "fax_number": "843-236-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAWGRASS PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "843-236-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "791 PD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethel Mae Santai, PT, DPT
• Kristin Helen Santelli
• Kenneth A Santiago, MD
• Eric Andrew Santorelli
• Scott Brannen Sauer, DO
• Lauren Sawyer
• Ashley Saylor
• Tyler James Saylor, LAT, ATC
• SC Nursing Services LLC (Interim Healthcare - Myrtle Beach)
• SC Orthoneuro, LLC (Ortho-Neuro)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.