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SURFSIDE FAMILY DENTISTRY
NPI 1316216500
Dentist - General Practice in Surfside Beach, SC

Active since December 19, 2011
1665 GLENNS BAY RD, SURFSIDE BEACH, SC 29575(843) 215-6080(888) 636-7841 Get Directions Write a Review

NPPES record last updated: December 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Surfside Family Dentistry NPPES

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

SURFSIDE FAMILY DENTISTRY (NPI 1316216500) is a healthcare organization registered as a general practice in Surfside Beach, South Carolina and active in the NPI registry since December 2011. The organization lists Scott J Willis, Member, as its authorized official.

NPPES Registry Identity

NPI1316216500
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSURFSIDE DENTAL LLC
Location Address1665 GLENNS BAY RDSurfside Beach, SC 29575-4836
Mailing Address11919 Plaza DrMurrells Inlet, SC 29576-9356 · (843) 652-0011 · Fax (888) 636-7841
Phone(843) 215-6080
Fax(888) 636-7841
Organization SubpartNo
Authorized OfficialScott J WillisMember · (843) 652-0011
Enumeration DateDecember 19, 2011
✔ NPI 1316216500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 1693
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.
1665 GLENNS BAY RD, Surfside Beach, SC 29575
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Other Names 1

Doing Business AsSurfside Family Dentistry

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 4

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

WILLIS CHIRO MED OF MB
Chiropractor
1665 GLENNS BAY RD
SURFSIDE BEACH, SC 29575
Horry County (843) 215-2324
CHARLES T ROGERS JR. DC
Chiropractor
1665 GLENNS BAY RD
SURFSIDE BEACH, SC 29575
Horry County (843) 215-2324
WILLIS CHIRO MED OF MB
Chiropractor
1665 GLENNS BAY RD
SURFSIDE BEACH, SC 29575
Horry County (843) 215-2324
HEALING JOURNEY LLC
Physical Therapist
1665 GLENNS BAY RD
SURFSIDE BEACH, SC 29575
Horry County (843) 798-0013

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 Surfside Dental LLC's NPI number?

The NPI number for Surfside Dental LLC is 1316216500. It was assigned to this organization in the NPPES registry on December 19, 2011. The provider is doing business as Surfside Family Dentistry.

Where is Surfside Dental LLC located?

Surfside Dental LLC is located at 1665 Glenns Bay Rd, Surfside Beach, SC 29575. The listed phone number is (843) 215-6080.

What is Surfside Dental LLC's specialty?

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

What insurance does Surfside Dental LLC accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Surfside Dental LLC 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 Surfside Dental LLC was last updated on December 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.