| Myrtle Beach Smiles Youth Dentistry, Llc | |
|
1317 N Kings Hwy Suite 106 Myrtle Beach SC 29577-3636 | |
| (843) 626-5437 | |
| (843) 626-6308 |
| Full Name | Myrtle Beach Smiles Youth Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1317 N Kings Hwy, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Jenell Stump (MANAGER, LICENSING & CREDENTIALING) |
| Authorized Official Contact | 6157500343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Myrtle Beach Smiles Youth Dentistry, Llc 16 Arcade Unit 198747 Nashville TN 37219-1994 Ph: (615) 750-0343 | Myrtle Beach Smiles Youth Dentistry, Llc 1317 N Kings Hwy Suite 106 Myrtle Beach SC 29577-3636 Ph: (843) 626-5437 |
| NPI Number | 1568432391 |
|---|---|
| Provider Enumeration Date | 01/24/2006 |
| Last Update Date | 07/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568432391 | NPI | - | NPPES |
| ZA9485 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Smiles At Carolina Forest Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Debo Dr Unit 110, Myrtle Beach, SC 29579 Phone: 844-514-4569 | |
Horry-georgetown Technical College Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 Pampas Dr, Bldg. 1000, Myrtle Beach, SC 29577 Phone: 843-349-5279 Fax: 843-349-7532 | |
Adult And Children's Dentistry At Carolina Forest Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4032 River Oaks Dr Ste 2, Myrtle Beach, SC 29579 Phone: 843-903-8800 | |
Sparkle Dental Center Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8848 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 843-650-6700 | |
Farrow Parkway Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2749 Agnes Ln, Myrtle Beach, SC 29577 Phone: 843-213-6653 Fax: 843-492-5993 | |
Little River Medical Center, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8900 Highway 544, Myrtle Beach, SC 29588 Phone: 843-236-6200 Fax: 843-236-7900 | |
Twiss Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5002 Carolina Forest Blvd, Myrtle Beach, SC 29579 Phone: 503-688-3400 |