| Aspen Dental | |
|
1376 Hwy 17 N North Myrtle Beach SC 29582 | |
| (843) 353-3405 | |
| Not Available |
| Full Name | Aspen Dental |
|---|---|
| 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 |
|---|---|
| Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Aspen Dental 1376 Hwy 17 N North Myrtle Beach SC 29582 Ph: (843) 353-3405 |
| NPI Number | 1598125437 |
|---|---|
| Provider Enumeration Date | 03/04/2016 |
| Last Update Date | 03/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598125437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8613 (South Carolina) | Primary |
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