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CRYSTAL ISENHOWER, DMD, LLC
NPI 1629184171
Dentist in Conway, SC

Active since August 21, 2006
107 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526(843) 234-3110(843) 234-3109 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Isenhower, Dmd, Llc NPPES

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

CRYSTAL ISENHOWER, DMD, LLC (NPI 1629184171) is a healthcare organization registered as a dentist in Conway, South Carolina and active in the NPI registry since August 2006. The organization lists Crystal Rae Isenhower, Dentist, as its authorized official.

NPPES Registry Identity

NPI1629184171
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCRYSTAL ISENHOWER, DMD, LLC
Location Address107 WACCAMAW MEDICAL PARK DRConway, SC 29526-8902
Mailing Address107 Waccamaw Medical Park DrConway, SC 29526-8902 · (843) 234-3110 · Fax (843) 234-3109
Phone(843) 234-3110
Fax(843) 234-3109
Organization SubpartNo
Authorized OfficialCrystal Rae IsenhowerDentist · (843) 234-3110
Enumeration DateAugust 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629184171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SC · 3529
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.
107 WACCAMAW MEDICAL PARK DR, Conway, SC 29526
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Other Identifiers 1

MedicaidZA967SSC

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.

DR. CRYSTAL H ISENHOWER DMD
Dentist (General Practice)
107 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 234-3110

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 Crystal Isenhower, Dmd, LLC's NPI number?

The NPI number for Crystal Isenhower, Dmd, LLC is 1629184171. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Crystal Isenhower, Dmd, LLC located?

Crystal Isenhower, Dmd, LLC is located at 107 Waccamaw Medical Park Dr, Conway, SC 29526. The listed phone number is (843) 234-3110.

What is Crystal Isenhower, Dmd, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Crystal Isenhower, Dmd, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.