Myrtle Beach Dental Associates Pa
LBN: Myrtle Beach Dental Associates Pa
Myrtle Beach Dental Associates Pa is an health care organization with primary practice located at 8151 Rourk St 82Nd Pkwy , Myrtle Beach SC 29572. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Myrtle Beach Dental Associates Pa can be contacted via phone (843) 449-4372, or through Iseman, John Edward via phone (843) 449-4372.
Contact Information
Primary practice address
8151 Rourk St 82Nd Pkwy
Myrtle Beach SC 29572
Phone: (843) 449-4372
Fax: (843) 497-9853
Website:
Authorized official contact:
Name: Iseman, John Edward Doctor of Dental Surgery (DDS)
Phone: (843) 449-4372
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2995 | South Carolina |
| Dental Providers / General Practice | 1223G0001X | 3771 | South Carolina |
Profile Details
| NPI number | 1558470450 |
|---|---|
| LBN Legal business name | Myrtle Beach Dental Associates Pa |
| DBA Doing business as | |
| Authorized official | Iseman, John Edward Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558470450 | NPPES |
| South Carolina | MEDICAID | ZA9684 |
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