NPIMap

Organization Active NPI

Gamble Dentalsmart PC

Doing business as DentalSmart

  • General Practice Dentistry
  • Myrtle Beach, SC
National Provider Identifier
1942667100
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GAMBLE DENTALSMART PC
Doing business as
DentalSmart
Practice address
1009 Highway 501
#70
Myrtle Beach, SC 29577-3820
Phone
(843) 735-6727
NPI assigned
Jan 19, 2016
Last updated
Apr 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Robert Gamble Jr
Title
Head of Dental Operations
Phone
(843) 735-6727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1009 Highway 501
#70
Myrtle Beach, SC 29577-3820

Mailing address

2020 Savannah Hwy
Charleston, SC 29407-6286

Other names 1

  • DentalSmart Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dentalsmart29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

1009 Highway 501
#70
Myrtle Beach, SC 29577

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1942667100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 HIGHWAY 501",
            "address_2": "#70",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773820",
            "telephone_number": "843-735-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMBLE DENTALSMART PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "GAMBLE JR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "HEAD OF DENTAL OPERATIONS",
        "authorized_official_telephone_number": "843-735-6727"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DentalSmart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 4, 2016; 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.