Grand Strand Family And Esthetic Dentistry in Myrtle Beach - Dentist

Grand Strand Family And Esthetic Dentistry - NPI 1518155415

Grand Strand Family And Esthetic Dentistry is a Dentist in Myrtle Beach, South Carolina. Grand Strand Family And Esthetic Dentistry practices all healthcare services and medical treatments related to Dentist. The NPI Number for Grand Strand Family And Esthetic Dentistry is 1518155415. The last update date is 2007-10-05.

Grand Strand Family And Esthetic Dentistry's current location address is 3409 N Kings Hwy, Myrtle Beach, South Carolina. You can contact this provider via phone number 8434486434. The mailing address for Grand Strand Family And Esthetic Dentistry is 3409 N Kings Hwy, Myrtle Beach, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Grand Strand Family And Esthetic Dentistry
Address 3409 N Kings Hwy, Myrtle Beach, South Carolina
Phone Number 8434486434
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRES
Authorized Official Name Machowski J Walter
Credentials DMD
Telephone Number 8434485434

NPI Number Detail

NPI Number 1518155415
Provider Enumeration Date 2007-10-05
Last Updated Date 2007-10-05

Provider Mailing Address Detail

Address 3409 N Kings Hwy
City Myrtle Beach
State South Carolina (SC)
Post Code 295772929
Phone Number 8434486434
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 2503
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Grand Strand Family And Esthetic Dentistry

What is the unique provider identifier assigned to Grand Strand Family And Esthetic Dentistry?

The Grand Strand Family And Esthetic Dentistry has been issued the NPI (National Provider Identifier) 1518155415 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Grand Strand Family And Esthetic Dentistry is geographically located?

The Grand Strand Family And Esthetic Dentistry is physically situated at the following location: 3409 N Kings Hwy, Myrtle Beach, SC, 295772929.

What is the Grand Strand Family And Esthetic Dentistry's specialty and taxonomy code?

The Grand Strand Family And Esthetic Dentistry's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did Grand Strand Family And Esthetic Dentistry receive its 1518155415 assignment from the Centers for Medicare & Medicaid Services?

The Grand Strand Family And Esthetic Dentistry was assigned its 1518155415 on 2007-10-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Grand Strand Family And Esthetic Dentistry's details last updated?

The information pertaining to the Grand Strand Family And Esthetic Dentistry, including its address, specialty, and other details, was most recently updated on 2007-10-05.

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