Active NPI
South Strand Dental Associates, Inc
- General Practice Dentistry
- Surfside Beach, SC
National Provider Identifier
1780735712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2437
- Legal business name
- SOUTH STRAND DENTAL ASSOCIATES, INC
- Practice address
- 1616 Azalea Dr
Surfside Beach, SC 29575-5277 - Phone
- (843) 238-5111
- Fax
- (843) 238-2412
- NPI assigned
- Jan 16, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel W Miller II, DMD
- Title
- Dentist
- Phone
- (843) 238-5111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2200 | SC | |
| General Practice Dentistry | 1223G0001X | 4045 | SC | |
| General Practice Dentistry | 1223G0001X | 2437 | SC | Primary |
Addresses
Primary practice location
1616 Azalea Dr
Surfside Beach, SC 29575-5277
Mailing address
PO Box 15128
Surfside Beach, SC 29587-5128
Phone (843) 238-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZA9758 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
1616 Azalea Dr
Surfside Beach, SC 29575
Phone (843) 238-5111
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Surfside Beach, SC
- NPI 1164603429
-
- General Practice Dentistry
- Surfside Beach, SC
- NPI 1801372495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780735712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15128",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295875128",
"telephone_number": "843-238-5111",
"fax_number": "843-238-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 AZALEA DR",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295755277",
"telephone_number": "843-238-5111",
"fax_number": "843-238-2412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH STRAND DENTAL ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "843-238-5111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "2200",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "4045",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "2437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZA9758",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Surfside Beach, SC
- Sandra Soles
- Sos Health Care Inc
- South Beach Dental Office Inc.
- South Carolina CVS Pharmacy LLC (CVS Pharmacy #05515)
- South Carolina Podiatric Physicians and Surgeons Group, LLC
- South Strand Medical Arts (South Strand Internists)
- Spine Pain Center Surfside LLC (Spine Pain Center Surfside)
- Roy Walter. Sprinkle, D.P.M.
- Ssi Admin, LLC
- Andy Steier
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.