Organization
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Active
Parent organization
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Other names
Seahawk Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Authorized official
HILLARY THULL (SENIOR CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
3200 EMPIRE DR, MYRTLE BEACH, SC 29577-6429
(843) 492-0157
(843) 492-0114
Mailing address
3200 EMPIRE DR, MYRTLE BEACH, SC 29577-6429
(843) 492-0157
(843) 492-0114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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