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1376 Hwy 17 N North Myrtle Beach SC 29582 | |
(843) 353-3405 | |
Not Available |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1376 Hwy 17 N, North Myrtle Beach, South Carolina |
Authorized Official Name and Position | Jebediah Shepherd Christy (OWNER) |
Authorized Official Contact | 8433533405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | 1376 Hwy 17 N North Myrtle Beach SC 29582 Ph: (843) 353-3405 |
NPI Number | 1598125437 |
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Provider Enumeration Date | 03/04/2016 |
Last Update Date | 03/04/2016 |
Identifier | Type | State | Issuer |
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1598125437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 8613 (South Carolina) | Primary |
Riesenberg Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 Highway 17 N, North Myrtle Beach, SC 29582 Phone: 843-580-1917 |