Grand Strand Pediatric Dentistry is a Pediatric Dental Clinic in Myrtle Beach, South Carolina. This organization is also known as sub part of Grand Strand Pediatric Dentistry. It is located at 3112 Dick Pond Road, Myrtle Beach, SC and its contact number is 843-294-5437. The authorized person for Grand Strand Pediatric Dentistry is Dr. Winona M Newman
who is Owner of the clinic and their contact number is 843-294-5437. The primary license number for Grand Strand Pediatric Dentistry is 3125SC (Pediatric Dentistry) in South Carolina. Grand Strand Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Grand Strand Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Grand Strand Pediatric Dentistry
Specialization:
Pediatric Dentistry
Clinic Address:
3112 Dick Pond Road, Myrtle Beach, South Carolina, 29588-4833
Phone:
843-294-5437
Fax:
843-294-5440
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Winona M Newman
Position:
Owner
Contact Number:
843-294-5437
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Grand Strand Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1881800480
Parent Organization:
Grand Strand Pediatric Dentistry
NPI Enumeration Date:
14 May, 2007
NPI Last Update On:
03 Mar, 2010
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grand Strand Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
3125SC
South Carolina
Primary
Pediatric Dentistry
3125
South Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
ZA9590
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Grand Strand Pediatric Dentistry 3112 Dick Pond Road, Myrtle Beach, South Carolina
Zip:
29588-4833
Phone Number:
843-294-5437
Fax Number:
843-294-5440
Patients can reach Grand Strand Pediatric Dentistry at 3112 Dick Pond Road, Myrtle Beach, South Carolina or can call to book an appointment on 843-294-5437. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.