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Grand Strand Pediatric Dentistry
Pediatric Dentist in Myrtle Beach, South Carolina
NPI 1881800480

Grand Strand Pediatric Dentistry is a Pediatric Dentist based in Myrtle Beach, SC and is specialized in Pediatric Dentistry. Grand Strand Pediatric Dentistry practices in Myrtle Beach, SC. The NPI Number for Grand Strand Pediatric Dentistry is 1881800480 and holds a License No. 3125 (South Carolina).

The current practice location address for Grand Strand Pediatric Dentistry is 3112 Dick Pond Road, Myrtle Beach, SC and can be reached out via phone at 843-294-5437 and via fax at 843-294-5440.

Location: 3112 Dick Pond Road, Myrtle Beach, SC, 29588-4833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881800480
Provider Name
Grand Strand Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
3112 Dick Pond Road, Myrtle Beach, SC, 29588-4833
Phone Number
843-294-5437
Fax Number
843-294-5440
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZA9590 05 SC
institution
Provider Business Practice Location Address Details
Address
3112 Dick Pond Road
City
Myrtle Beach
State
South Carolina
Zip
29588-4833
Phone Number
843-294-5437
Fax Number
843-294-5440
person
Provider Business Mailing Address Details
Address
3112 Dick Pond Road
City
Myrtle Beach
State
South Carolina
Zip
29588-4833
Phone Number
843-294-5437
Fax Number
843-294-5440
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
3125 (South Carolina)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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