Provider Demographics
NPI:1538610357
Name:CAROLINA CENTER FOR ADVANCED DENTISTRY MURRELLS INLET, LLC
Entity type:Organization
Organization Name:CAROLINA CENTER FOR ADVANCED DENTISTRY MURRELLS INLET, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOROWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:843-457-4179
Mailing Address - Street 1:4310 HIGHWAY 17 STE 101
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-5022
Mailing Address - Country:US
Mailing Address - Phone:843-898-5377
Mailing Address - Fax:843-651-9779
Practice Address - Street 1:4310 HIGHWAY 17 BYPASS
Practice Address - Street 2:SUITE 101
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-5022
Practice Address - Country:US
Practice Address - Phone:843-898-5377
Practice Address - Fax:843-651-9779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-17
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
122300000X, 122300000X
SC3287122300000X
SC8233122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty