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VILLAGE FAMILY DENTAL
NPI 1952583924
Dentist - General Practice in Myrtle Beach, SC

Active since December 03, 2007
3012 NEWCASTLE LOOP, MYRTLE BEACH, SC 29588(843) 215-2599 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Village Family Dental NPPES

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

VILLAGE FAMILY DENTAL (NPI 1952583924) is a healthcare organization registered as a general practice in Myrtle Beach, South Carolina and active in the NPI registry since December 2007. The organization lists John Michael Rearden, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1952583924
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameVILLAGE FAMILY DENTAL
Location Address3012 NEWCASTLE LOOPMyrtle Beach, SC 29588-4501
Mailing Address3012 Newcastle LoopMyrtle Beach, SC 29588-4501 · (843) 215-2599
Phone(843) 215-2599
Organization SubpartNo
Authorized OfficialJohn Michael ReardenOwner/dentist · (843) 215-2599
Enumeration DateDecember 3, 2007
✔ NPI 1952583924 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 · 90157
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.
3012 NEWCASTLE LOOP, Myrtle Beach, SC 29588
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Other Identifiers 1

MedicaidZA9719SC

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 3

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

VILLAGE FAMILY MEDICAL
Nurse Practitioner (Family)
3012 NEWCASTLE LOOP
MYRTLE BEACH, SC 29588
Horry County (843) 424-5565
DR. STEPHEN F TUTTLE DDS
Dentist
3012 NEWCASTLE LOOP
MYRTLE BEACH, SC 29588
Horry County (843) 215-2599
JOHN MICHAEL REARDEN D.M.D.
Dentist
3012 NEWCASTLE LOOP
MYRTLE BEACH, SC 29588
Horry County (843) 215-2599

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 Village Family Dental's NPI number?

The NPI number for Village Family Dental is 1952583924. It was assigned to this organization in the NPPES registry on December 3, 2007.

Where is Village Family Dental located?

Village Family Dental is located at 3012 Newcastle Loop, Myrtle Beach, SC 29588. The listed phone number is (843) 215-2599.

What is Village Family Dental's specialty?

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

When was this NPI record last updated?

The NPPES record for Village Family Dental was last updated on December 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.