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

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: July 26, 2026.

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 with the weekly NPPES data releases published by CMS.