Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
D. CALVIN RILEY JR. DMD PA
Active
Organization
D. CALVIN RILEY JR. DMD PA
Active
Other names
Crescent Beach Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DON CALVIN RILEY JR. (DENTIST OWNER)
(843) 272-1121
Entity
Organization
Contact information
Practice address
602 17TH AVE SO, NORTH MYRTLE BEACH, SC 29582
(843) 272-1121
(843) 272-9976
Mailing address
602 17TH AVE SO, NORTH MYRTLE BEACH, SC 29582
(843) 272-1121
(843) 272-9976
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2681
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9478
—
SC
05
—
ZZ2681
—
SC
Enumeration date
05/26/2006
Last updated
08/12/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up