NPIMap

Dental Professionals of South Carolina, P.C.

Organization Active NPI General Practice Dentistry · Myrtle Beach, SC

NPI 1992397558 · NPPES record last updated Jul 14, 2023

Key facts

NPI
1992397558
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Practice address
1430 South Commons Dr
Myrtle Beach, SC 29588-8087
Phone
(843) 712-7308
NPI assigned
Feb 5, 2021
Organization subpart
Yes
Parent organization (as reported)
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-8905

Corporate family (same tax ID) 12

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Dental Professional of South Carolina PC (74 organizations share this tax ID)
Part of
Dental Professional of South Carolina PC

Locations

1430 S Commons Dr
Myrtle Beach, SC 29588
Phone (843) 712-7308

3079 Dick Pond Rd
Myrtle Beach, SC 29588

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

1430 South Commons Dr
Myrtle Beach, SC 29588-8087

Mailing address

1430 South Commons Dr
Myrtle Beach, SC 29588-8080
Phone (843) 712-7308

Other names

  • Dental Care at South Commons Doing business as

Other providers in Myrtle Beach, SC

All providers in Myrtle Beach, SC · General Practice Dentistry in South Carolina

Sources for this page

Verify at the official NPI Registry.