Organization Active NPI

Oleander Family and Cosmetic Dentistry, LLC

  • General Practice Dentistry
  • Myrtle Beach, SC
National Provider Identifier
1740478668
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1537 AND 4131 Issued in SC
Legal business name
OLEANDER FAMILY AND COSMETIC DENTISTRY, LLC
Practice address
4610 Oleander Dr
Suite 103
Myrtle Beach, SC 29577-5752
Phone
(843) 449-7114
Fax
(843) 449-2554
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Dr. Edward Vandiver Horton Jr., DDS
Title
Partner
Phone
(843) 449-7114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1537 AND 4131 SC Primary

Addresses

Primary practice location

4610 Oleander Dr
Suite 103
Myrtle Beach, SC 29577-5752

Mailing address

4610 Oleander Dr
Suite 103
Myrtle Beach, SC 29577-5752
Phone (843) 449-7114

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1740478668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 OLEANDER DR",
            "address_2": "SUITE 103",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775752",
            "telephone_number": "843-449-7114",
            "fax_number": "843-449-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 OLEANDER DR",
            "address_2": "SUITE 103",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775752",
            "telephone_number": "843-449-7114",
            "fax_number": "843-449-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEANDER FAMILY AND COSMETIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "VANDIVER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-449-7114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1537       AND  4131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.