LITTLE RIVER MEDICAL CENTER, INC.
NPI 1508122433
Dentist in Little River, SC

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

The NPI number for Little River Medical Center, Inc. is 1508122433. It was assigned to this organization in the NPPES registry on April 4, 2012.

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

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

Active since April 04, 2012

4303 LIVE OAK DR, LITTLE RIVER, SC 29566(843) 663-8000(843) 663-1017 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Little River Medical Center, Inc. NPPES

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

LITTLE RIVER MEDICAL CENTER, INC. (NPI 1508122433) is a healthcare organization registered as a dentist in Little River, South Carolina and active in the NPI registry since April 2012. The organization lists Avangela K Criswell, Business Office Director, as its authorized official.

NPPES Registry Identity

NPI1508122433

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameLITTLE RIVER MEDICAL CENTER, INC.

Location Address4303 LIVE OAK DRLittle River, SC 29566-9138

Mailing AddressPo Box 547Little River, SC 29566-0547 · (843) 663-8000 · Fax (843) 663-1017

Phone(843) 663-8000

Fax(843) 663-1017

Organization SubpartYes

Authorized OfficialAvangela K CriswellBusiness Office Director · (843) 663-8017

Enumeration DateApril 4, 2012

✔ NPI 1508122433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

Also ListedDental HygienistTaxonomy 124Q00000X

4303 LIVE OAK DR, Little River, SC 29566

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Other Identifiers 2

MedicaidZA9656SC

Medicaid424024DNC

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