Black Myrtle Endodontics, LLC
NPI 1790512655ActiveOrganization· Dentist, Endodontics· Myrtle Beach, SC
Dentist, Endodontics in Myrtle Beach, South Carolina, registered in NPPES in September 2024. The authorized official on file is Christian Black, DMD, MSD, Owner.
Overview
| NPI | 1790512655 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2024 |
| Last updated in NPPES | Sep 16, 2024 |
| Certified by provider | Sep 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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