Organization
ADULT AND CHILDRENS DENTISTRY AT MYRTLE BEACH LLC
Active
Other names
Adult and Childrens Dentistry at Carolina Forest
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY SUGGS DMD (DENTIST)
(843) 903-8800
Entity
Organization
Contact information
Practice address
4032 RIVER OAKS DR STE 2, MYRTLE BEACH, SC 29579-6696
(843) 903-8800
(843) 903-8575
Mailing address
4032 RIVER OAKS DR STE 2, MYRTLE BEACH, SC 29579-6696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3446
SC
1223G0001X
General Practice Dentistry
8861
SC
Other
Enumeration date
01/01/2018
Last updated
01/01/2018
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