CRESCENT BEACH DENTAL
NPI 1013964147
Dentist in North Myrtle Beach, SC

Q: What is D. Calvin Riley Jr. Dmd PA's NPI number?

The NPI number for D. Calvin Riley Jr. Dmd PA is 1013964147. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Crescent Beach Dental.

Q: What is D. Calvin Riley Jr. Dmd PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since May 26, 2006

602 17TH AVE SO, NORTH MYRTLE BEACH, SC 29582(843) 272-1121(843) 272-9976 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Crescent Beach Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRESCENT BEACH DENTAL (NPI 1013964147) is a healthcare organization registered as a dentist in North Myrtle Beach, South Carolina and active in the NPI registry since May 2006. The organization lists Don Calvin Riley, Dentist Owner, as its authorized official.

NPPES Registry Identity

NPI1013964147

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameD. CALVIN RILEY JR. DMD PA

Location Address602 17TH AVE SONorth Myrtle Beach, SC 29582

Mailing Address602 17th Ave SoNorth Myrtle Beach, SC 29582 · (843) 272-1121 · Fax (843) 272-9976

Phone(843) 272-1121

Fax(843) 272-9976

Organization SubpartNo

Authorized OfficialDon Calvin RileyDentist Owner · (843) 272-1121

Enumeration DateMay 26, 2006

Last NPPES UpdateAugust 12, 2008

✔ NPI 1013964147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in SC · 2681

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

602 17TH AVE SO, North Myrtle Beach, SC 29582

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Other Names 1

Doing Business AsCrescent Beach Dental

Other Identifiers 2

MedicaidZA9478SC

MedicaidZZ2681SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DON CALVIN RILEY JR. DMD

Dentist (General Practice)

602 17TH AVE SO
NO MYRTLE BEACH, SC 29582

Horry County (843) 272-1121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is D. Calvin Riley Jr. Dmd PA's NPI number?

The NPI number for D. Calvin Riley Jr. Dmd PA is 1013964147. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Crescent Beach Dental.

Where is D. Calvin Riley Jr. Dmd PA located?

D. Calvin Riley Jr. Dmd PA is located at 602 17th Ave So, North Myrtle Beach, SC 29582. The listed phone number is (843) 272-1121.

What is D. Calvin Riley Jr. Dmd PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for D. Calvin Riley Jr. Dmd PA was last updated on August 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.