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BROCK DWYER
NPI 1063308294
Dentist in Myrtle Beach, SC

Active since June 16, 2025
1209 N RETAIL CT, MYRTLE BEACH, SC 29577(843) 874-4060 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brock Dwyer NPPES

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

BROCK DWYER (NPI 1063308294) is an individual dentist in Myrtle Beach, South Carolina, licensed in South Carolina (111555) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1063308294
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBROCK DWYER
Location Address1209 N RETAIL CTMyrtle Beach, SC 29577-9626
Mailing Address902 W 2nd AveWindermere, FL 34786-8517 · (407) 697-9349
Phone(843) 874-4060
Sole ProprietorNo
Enumeration DateJune 16, 2025
NPPES CertifiedJune 15, 2025
✔ NPI 1063308294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SC · 111555
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.
1209 N RETAIL CT, Myrtle Beach, SC 29577
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield and more.Insurance ›

Other Providers at the Same Location NPPES 7

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

JASLEEN KUNDLAS DMD
Dentist (General Practice)
1209 N RETAIL CT
MYRTLE BEACH, SC 29577
Horry County (843) 874-4060
DR. SEAN T GANTHER DDS
Dentist
1209 N RETAIL CT
MYRTLE BEACH, SC 29577
Horry County (415) 502-5800
NASTARAN MOSHAEINEZHAD DDS
Dentist (General Practice)
1209 N RETAIL CT
MYRTLE BEACH, SC 29577
Horry County (843) 357-0213
JEBEDIAH S. CHRISTY, DDS - MYRTLE BEACH PLLC
Dentist (General Practice)
1209 N RETAIL CT
MYRTLE BEACH, SC 29577
Horry County (843) 874-4060
DR. JERREL A MILLS D.M.D.
Dentist
1209 N RETAIL CT
MYRTLE BEACH, SC 29577
Horry County (843) 843-4060
DR. JESSICA RODRIGUES DDS
Dentist (General Practice)
1209 N RETAIL CT
MYRTLE BEACH, SC 29577
Horry County (843) 874-4060
DR. ANDREA NICOLE MILLER DMD
Dentist
1209 N RETAIL CT
MYRTLE BEACH, SC 29577
Horry County (843) 874-4060

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 Brock Dwyer's NPI number?

The NPI number for Brock Dwyer is 1063308294. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Brock Dwyer located?

Brock Dwyer practices at 1209 N Retail Ct, Myrtle Beach, SC 29577. The listed phone number is (843) 874-4060.

What is Brock Dwyer's specialty?

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

What insurance does Brock Dwyer accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 8 other insurers list Brock Dwyer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brock Dwyer was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.