Craig L. Milburn, DMD LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CRAIG L. MILBURN, DMD LLC

Doing business as

Ocean Drive Dentistry

Practice address

418 Main St Ste C
North Myrtle Beach, SC 29582-3041

Phone

(843) 249-7736

Fax

(843) 249-3259

NPI assigned

Feb 5, 2014

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, D.M.D.

Title

Owner

Phone

(843) 249-7736

Specialties & licenses 1

Addresses

Other names 1

• Ocean Drive Dentistry Doing business as

Locations

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1780008110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 MAIN ST STE C",
            "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": "418 MAIN ST STE C",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823041",
            "telephone_number": "843-249-7736",
            "fax_number": "843-249-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG L. MILBURN, DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "MILBURN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-249-7736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Drive Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina N Corley, PHARMD
• Kelly Elizabeth Corley
• Emily Costabile, DPT
• Mallory Flowers Couch
• Counseling of the Carolinas
• CVS Caremark
• Shannon Marie Cyr
• D. Calvin Riley Jr. DMD PA (Crescent Beach Dental)
• Tasha Damon
• Ashley Nicole Daniels, RBT

• Dentist in North Myrtle Beach, SC
• Providers in North 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 Feb 5, 2014; 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.