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South Coast Dental LLC

NPI 1477140226ActiveOrganization· Dentist· Myrtle Beach, SC

Dentist in Myrtle Beach, South Carolina, registered in NPPES in December 2020. The authorized official on file is Justin Michael Dammann, DMD, Member/Dentist.

Overview

NPI1477140226
StatusActive
Entity typeOrganization
NPI issuedDec 28, 2020
Last updated in NPPESDec 28, 2020
Certified by providerDec 28, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other dentists in Myrtle Beach

All 56 dentists in Myrtle Beach · All dentists in South Carolina