LITTLE RIVER MEDICAL CENTER - NPI 1205019163 - Dentist in Little River, SC

Q: What is Little River Medical Center's NPI number?

The NPI number for Little River Medical Center is 1205019163. It was assigned to this organization in the NPPES registry on December 13, 2007.

Q: What is Little River Medical Center's specialty?

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

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About Little River Medical Center NPPES

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

LITTLE RIVER MEDICAL CENTER (NPI 1205019163) is a healthcare organization registered as a dentist in Little River, South Carolina and active in the NPI registry since December 2007. The organization lists Chari L Sherrill, Credentialing Mgr., as its authorized official.

NPPES Registry Identity

NPI1205019163

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameLITTLE RIVER MEDICAL CENTER

Location Address4303 LIVE OAK DRLittle River, SC 29566-9138

Mailing AddressPo Box 547Little River, SC 29566-0547 · (843) 663-1013 · Fax (843) 663-1017

Phone(843) 663-1013

Fax(843) 663-1017

Organization SubpartYes

Authorized OfficialChari L SherrillCredentialing Mgr. · (843) 663-1013

Enumeration DateDecember 13, 2007

✔ NPI 1205019163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in SC · 4406

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.

4303 LIVE OAK DR, Little River, SC 29566

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Other Identifiers 1

MedicaidZA9656SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

JESSE MITCHEL RAYBON DMD

Dentist