Organization Active NPI

Grand Strand Dentistry PA

  • Dentist
  • Conway, SC
National Provider Identifier
1922834712
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GRAND STRAND DENTISTRY PA
Doing business as
Grand Strand Dentistry
Practice address
1571 Highway 544
Conway, SC 29526-8450
Phone
(843) 347-4190
Fax
(843) 347-4198
NPI assigned
Sep 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Brian ArmstrongNPI 1750494894
Title
Owner
Phone
(843) 347-4190

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1571 Highway 544
Conway, SC 29526-8450

Mailing address

1571 Highway 544
Conway, SC 29526-8450
Phone (843) 347-4190

Other names 1

  • Grand Strand Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1922834712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 HIGHWAY 544",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268450",
            "telephone_number": "843-347-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 HIGHWAY 544",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268450",
            "telephone_number": "843-347-4190",
            "fax_number": "843-347-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND STRAND DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-347-4190"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Strand Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grand Strand Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.