Forest Crossing Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FOREST CROSSING FAMILY DENTAL, LLC

Practice address

4999 Carolina Forest Blvd Ste 14
Myrtle Beach, SC 29579-3588

Phone

(843) 903-4700

NPI assigned

Oct 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Craig Lee Milburn, DMDNPI 1699973800

Title

Member

Phone

(864) 367-6928

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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

• Craig Lee Milburn, D.M.D.

  • Dentist
  • North Myrtle Beach, SC
  • NPI 1699973800
  NPD Authorized official
• Michael George Cardozo, D.D.S.

  • General Practice Dentistry
  • Mrytle Beach, SC
  • NPI 1780705616
  NPD (past)
• Hilton M Dickson, D.M.D.

  • General Practice Dentistry
  • North Myrtle Beach, SC
  • NPI 1316920044
  NPD (past)
• Gabrielle Moon Morales, DMD

  • General Practice Dentistry
  • Mount Pleasant, SC
  • NPI 1710546189
  NPD (past)
• George Peter Sourlis, DMD

  • Dentist
  • North Myrtle Beach, SC
  • NPI 1245753714
  NPD (past)

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1669947511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 MAIN ST",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823041",
            "telephone_number": "843-249-7736",
            "fax_number": "843-249-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 CAROLINA FOREST BLVD STE 14",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793588",
            "telephone_number": "843-903-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST CROSSING FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "MILBURN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "864-367-6928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Lorenzo Fontana
• Virginia M Forbes
• Ksenia Ford
• Michael Ford, M.D.
• Thomas Gardner Foreman, MD
• Forest Family Care, Inc
• Forest Family Practice, LLC
• Kyle Allan Forman, DPT
• Kathy Lee Fortner, ED.S, LPC
• Jane Medlin Fortune, LPC

• 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 Oct 8, 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.