Village Family Dental

LBN: Village Family Dental
Village Family Dental is an health care organization with primary practice located at 3012 Newcastle Loop , Myrtle Beach SC 29588-4501. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Village Family Dental can be contacted via phone (843) 215-2599, or through Rearden, John Michael via phone (843) 215-2599.

Contact Information

Primary practice address
3012 Newcastle Loop Myrtle Beach SC 29588-4501
Phone: (843) 215-2599
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rearden, John Michael Doctor of Dental Medicine (DMD)
Phone: (843) 215-2599

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 90157 South Carolina

Profile Details

NPI number 1952583924
LBN Legal business name Village Family Dental
DBA Doing business as
Authorized official Rearden, John Michael Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2007
Last updated Dec 3rd, 2007 - about 17 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 1952583924 NPPES
South Carolina MEDICAID ZA9719

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