Intercoastal Endo, Pc | |
4382 Oleander Dr Myrtle Beach SC 29577 | |
(843) 449-4900 | |
(843) 449-1658 |
Full Name | Intercoastal Endo, Pc |
---|---|
Speciality | Dentist - Endodontics |
Location | 4382 Oleander Dr, Myrtle Beach, South Carolina |
Authorized Official Name and Position | Mark C Conard (PRESIDENT) |
Authorized Official Contact | 8434494900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Intercoastal Endo, Pc 4382 Oleander Dr Myrtle Beach SC 29577 Ph: (843) 449-4900 | Intercoastal Endo, Pc 4382 Oleander Dr Myrtle Beach SC 29577 Ph: (843) 449-4900 |
NPI Number | 1881007946 |
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Provider Enumeration Date | 06/06/2014 |
Last Update Date | 06/07/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881007946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 4617 (South Carolina) | Primary |
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