Beach Dental Associates

LBN: Beach Dental Associates
Beach Dental Associates is an health care organization with primary practice located at 9654 N Kings Hwy Suite N, Myrtle Beach SC 29572-4040. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Beach Dental Associates can be contacted via phone (843) 692-9313, or through Lucas, Marlene M via phone (843) 692-9313.

Contact Information

Primary practice address
9654 N Kings Hwy Suite N Myrtle Beach SC 29572-4040
Phone: (843) 692-9313
Fax: (843) 692-2584
Website:
Map and Directions
Authorized official contact:
Name: Lucas, Marlene M
Phone: (843) 692-9313

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1265621643
LBN Legal business name Beach Dental Associates
DBA Doing business as
Authorized official Lucas, Marlene M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2007
Last updated Oct 22nd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265621643 NPPES
South Carolina MEDICAID ZA9825

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