Provider Demographics
NPI:1750768693
Name:SUGGS, COURTNEY HOLMES (DMD)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:HOLMES
Last Name:SUGGS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:968 INTERNATIONAL DR
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-3488
Mailing Address - Country:US
Mailing Address - Phone:843-798-1662
Mailing Address - Fax:
Practice Address - Street 1:968 INTERNATIONAL DR
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-3488
Practice Address - Country:US
Practice Address - Phone:843-903-8800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-29
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC88611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty