Myrtle Beach Endodontics, LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

MYRTLE BEACH ENDODONTICS, LLC

Practice address

350 Hilton Rd Ste 201
Myrtle Beach, SC 29572-6623

Phone

(843) 497-3707

Fax

(843) 497-3717

NPI assigned

Nov 15, 2022

Organization subpart

No

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

Authorized official

Name

Dr. William Justin Crosby, DDSNPI 1154983690

Title

Owner

Phone

(843) 497-3707

Specialties & licenses 1

Addresses

Locations

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

• William Justin Crosby, DDS

  • Endodontics
  • Myrtle Beach, SC
  • NPI 1154983690
  NPD Authorized official
• Keith Berry, DMD

  • Endodontics
  • Myrtle Beach, SC
  • NPI 1750355145
  NPD (past)

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1679282933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HILTON RD STE 201",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295726623",
            "telephone_number": "630-992-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HILTON RD STE 201",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295726623",
            "telephone_number": "843-497-3707",
            "fax_number": "843-497-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRTLE BEACH ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-497-3707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrtle Beach Brace & Limb Center, LLC
• Myrtle Beach Counseling Center
• Myrtle Beach Dental Associates PA
• Myrtle Beach Dermatology
• Myrtle Beach Endocrinology
• Myrtle Beach Family Medicine, PA
• Myrtle Beach Internists, LLC
• Myrtle Beach Physical Medicine & Rehab, LLC
• Myrtle Beach Plastic Surgery Specialistts,LLC
• Myrtle Beach Smiles Youth Dentistry, LLC

• All providers in Myrtle Beach, SC
• Endodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.