Tristan Matthew Lamp, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DGD.10189 Issued in SC

Practice address

82ND Pkwy
Myrtle Beach, SC 29572

Phone

(217) 540-5100

NPI assigned

Jun 9, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Professional of South Carolina, P.C.

  dba Farrow Parkway Dental Care

  • General Practice Dentistry
  • Myrtle Beach, SC
  • NPI 1104467224
  NPD (past)

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1518696012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015A KINGS RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269406",
            "telephone_number": "843-467-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82ND PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29572",
            "telephone_number": "217-540-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2749 Agnes Ln",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295772029",
            "country_code": "US",
            "telephone_number": "843-213-6653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMP",
        "first_name": "TRISTAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "DGD.10189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon H Lallement
• Linda S Lam, R PH
• Daniel Austin Lambert
• Renee Ruth Lamm, M.D.
• Scott Lamp, R.PH.
• Kristen Cox Land
• Chelsea Lane, MD
• Daniel Lane, MD
• David Thomas Lane, LISW-CP
• Kahealani Lane

• Dentist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.