INTERCOASTAL ENDO, PC
NPI 1881007946
Dentist - Endodontics in Myrtle Beach, SC

Active since June 06, 2014
4382 OLEANDER DR, MYRTLE BEACH, SC 29577(843) 449-4900(843) 449-1658 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Intercoastal Endo, Pc NPPES

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

INTERCOASTAL ENDO, PC (NPI 1881007946) is a healthcare organization registered as an endodontics in Myrtle Beach, South Carolina and active in the NPI registry since June 2014. The organization maintains a secondary practice location in Myrtle Beach and lists Mark C Conard, President, as its authorized official.

NPPES Registry Identity

NPI1881007946
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameINTERCOASTAL ENDO, PC
Location Address4382 OLEANDER DRMyrtle Beach, SC 29577
Mailing Address4382 Oleander DrMyrtle Beach, SC 29577 · (843) 449-4900 · Fax (843) 449-1658
Fax(843) 449-1658
Organization SubpartNo
Authorized OfficialMark C ConardPresident · (843) 449-4900
Enumeration DateJune 6, 2014
Last NPPES UpdateJune 7, 2018
NPI 1881007946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in SC · 4617
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
4382 OLEANDER DR, Myrtle Beach, SC 29577

Secondary Practice Location 1

Location 14605 Oleander Dr, SUITE 2Myrtle Beach, SC 29577-5739 · Phone (843) 449-4900 · Fax (843) 449-1658

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

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 Intercoastal Endo, PC's NPI number?

The NPI number for Intercoastal Endo, PC is 1881007946. It was assigned to this organization in the NPPES registry on June 6, 2014.

Where is Intercoastal Endo, PC located?

Intercoastal Endo, PC is located at 4382 Oleander Dr, Myrtle Beach, SC 29577. The listed phone number is (843) 449-4900.

What is Intercoastal Endo, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Intercoastal Endo, PC was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.