# TWISS DENTAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114688074
- **Authorized official:** DR. JOSHUA TWISS DDS (PRESIDENT)
- **Authorized official phone:** (503) 688-3400

## Contact information

- **Practice address:** 5002 CAROLINA FOREST BLVD, MYRTLE BEACH, SC 29579
- **Practice address phone:** (503) 688-3400
- **Mailing address:** 480 PLANTATION OAKS DR, MYRTLE BEACH, SC 29579-3663
- **Mailing address phone:** (503) 688-3400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2022
- **Last updated:** 01/04/2022
