DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
NPI 1154265080
Dentist - General Practice in Surfside Beach, SC

Q: What is Dental Professional Of South Carolina, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since April 20, 2026

2641 BEAVER RUN BLVD, SURFSIDE BEACH, SC 29575(843) 649-0000(843) 649-0001 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dental Professional Of South Carolina, P.c. NPPES

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

DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C. (NPI 1154265080), doing business as Dental Care On Beaver Run, is a healthcare organization registered as a general practice in Surfside Beach, South Carolina and active in the NPI registry since April 2026. The organization lists Cemyira Mcdougal, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1154265080

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.

Location Address2641 BEAVER RUN BLVDSurfside Beach, SC 29575-5387

Mailing Address2641 Beaver Run BlvdSurfside Beach, SC 29575-5387 · (843) 649-0000 · Fax (843) 649-0001

Phone(843) 649-0000

Fax(843) 649-0001

Organization SubpartYes

Authorized OfficialCemyira McdougalCredentialing · (217) 764-8609

Enumeration DateApril 20, 2026

NPPES CertifiedApril 14, 2026

✔ NPI 1154265080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2641 BEAVER RUN BLVD, Surfside Beach, SC 29575

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Other Names 1

Doing Business AsDental Care On Beaver Run

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.

KINJAL GAJERA

Dentist (General Practice)

2641 BEAVER RUN BLVD
SURFSIDE BEACH, SC 29575

Horry County (843) 649-0000

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 Dental Professional Of South Carolina, P.C.'s NPI number?

The NPI number for Dental Professional Of South Carolina, P.C. is 1154265080. It was assigned to this organization in the NPPES registry on April 20, 2026. The provider is doing business as Dental Care on Beaver Run.

Where is Dental Professional Of South Carolina, P.C. located?

Dental Professional Of South Carolina, P.C. is located at 2641 Beaver Run Blvd, Surfside Beach, SC 29575. The listed phone number is (843) 649-0000.

What is Dental Professional Of South Carolina, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dental Professional Of South Carolina, P.C. was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.