Surfside SW LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SURFSIDE SW LLC

Doing business as

Surfside Smiles

Practice address

811 5TH Ave N
Surfside Beach, SC 29575-3967

Phone

(843) 450-1886

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Scott John Willis, DCNPI 1982901567

Title

Owner

Phone

(843) 450-1886

Specialties & licenses 1

Addresses

Other names 1

• Surfside Smiles Doing business as

Locations

Practitioners 1

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.

• Scott Willis, D.C.

  • Chiropractor
  • Myrtle Beach, SC
  • NPI 1982901567
  NPD Authorized official

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1851115810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 PLAZA DR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769356",
            "telephone_number": "843-450-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 5TH AVE N",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295753967",
            "telephone_number": "843-450-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURFSIDE SW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-450-1886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surfside Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stuart P. Creson Inc
• Surfside Beach Rescue Squad
• Surfside Beach Urgent Care LLC
• Surfside Counseling, LLC
• Surfside Dental LLC (Surfside Family Dentistry)
• Susan Edwards Surratt, FNP
• Autumn Tami, PHARMD
• Telenutrition Therapy
• Christopher Ryan Templeton, CPHT
• Suzanne Tenwesteneind, DC

• General Practice Dentistry in Surfside Beach, SC
• Providers in Surfside 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 Nov 14, 2024; 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.