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SEASIDE PEDIATRIC DENTAL ASSOCIATES
NPI 1578084331
Dentist - Pediatric Dentistry in Murrells Inlet, SC

Active since July 03, 2017
4410 HIGHWAY 17 UNIT B6, MURRELLS INLET, SC 29576(423) 741-9078 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 6, 2018, Jul 3, 2017 (3 updates tracked since 2017).

About Seaside Pediatric Dental Associates NPPES

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

SEASIDE PEDIATRIC DENTAL ASSOCIATES (NPI 1578084331) is a healthcare organization registered as a pediatric dentistry in Murrells Inlet, South Carolina and active in the NPI registry since July 2017. The organization lists Matthew Tillman, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1578084331
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSEASIDE PEDIATRIC DENTAL ASSOCIATES
Location Address4410 HIGHWAY 17 UNIT B6Murrells Inlet, SC 29576
Mailing Address4410 Highway 17 Unit B6Murrells Inlet, SC 29576-6434 · (423) 741-9078
Phone(423) 741-9078
Organization SubpartNo
Authorized OfficialMatthew TillmanCo-owner · (843) 651-5437
Enumeration DateJuly 3, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1578084331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4410 HIGHWAY 17 UNIT B6, Murrells Inlet, SC 29576
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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.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. MATTHEW DAVID TILLMAN DDS
Dentist (Pediatric Dentistry)
4410 HIGHWAY 17 UNIT B6
MURRELLS INLET, SC 29576
Georgetown County (423) 741-9078
DR. AARON FORSYTHE BLOOM DDS
Dentist (Pediatric Dentistry)
4410 HIGHWAY 17 UNIT B6
MURRELLS INLET, SC 29576
Georgetown County (304) 419-0188
AMERICAN HEALTH IMAGING OF SOUTH CAROLINA LLC
Clinic/Center (Radiology)
4410 HIGHWAY 17 UNIT B6
MURRELLS INLET, SC 29576
Georgetown County (843) 438-0080

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 Seaside Pediatric Dental Associates's NPI number?

The NPI number for Seaside Pediatric Dental Associates is 1578084331. It was assigned to this organization in the NPPES registry on July 3, 2017.

Where is Seaside Pediatric Dental Associates located?

Seaside Pediatric Dental Associates is located at 4410 Highway 17 Unit B6, Murrells Inlet, SC 29576. The listed phone number is (423) 741-9078.

What is Seaside Pediatric Dental Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Seaside Pediatric Dental Associates accept?

Health plans from BlueCross BlueShield of South Carolina list Seaside Pediatric Dental Associates 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 Seaside Pediatric Dental Associates was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.