Grand Strand Family And Esthetic Dentistry
LBN: Grand Strand Family And Esthetic Dentistry
Grand Strand Family And Esthetic Dentistry is an health care organization with primary practice located at 4884 Socastee Blvd , Myrtle Beach SC 29588-7245. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Grand Strand Family And Esthetic Dentistry can be contacted via phone (843) 293-6606, or through Machowski, Walter J via phone (843) 293-6606.
Contact Information
Primary practice address
4884 Socastee Blvd
Myrtle Beach SC 29588-7245
Phone: (843) 293-6606
Fax:
Website:
Authorized official contact:
Name: Machowski, Walter J Doctor of Dental Medicine (DMD)
Phone: (843) 293-6606
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2503 | South Carolina |
Profile Details
| NPI number | 1790971927 |
|---|---|
| LBN Legal business name | Grand Strand Family And Esthetic Dentistry |
| DBA Doing business as | |
| Authorized official | Machowski, Walter J Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 20th, 2007 |
| Last updated | Jan 28th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790971927 | NPPES |
| South Carolina | MEDICAID | ZA9570 |
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