Crescent Beach Dental

LBN: D. Calvin Riley Jr. Dmd Pa
Crescent Beach Dental is an health care organization with primary practice located at 602 17Th Ave So , North Myrtle Beach SC 29582. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. D. Calvin Riley Jr. Dmd Pa can be contacted via phone (843) 272-1121, or through Riley, Don Calvin via phone (843) 272-1121.

Contact Information

Primary practice address
602 17Th Ave So North Myrtle Beach SC 29582
Phone: (843) 272-1121
Fax: (843) 272-9976
Website:
Map and Directions
Authorized official contact:
Name: Riley, Don Calvin
Phone: (843) 272-1121

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2681 South Carolina

Profile Details

NPI number 1013964147
LBN Legal business name D. Calvin Riley Jr. Dmd Pa
DBA Doing business as Crescent Beach Dental
Authorized official Riley, Don Calvin
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Aug 12th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013964147 NPPES
South Carolina MEDICAID ZZ2681
South Carolina MEDICAID ZA9478

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