MEDICARE: ROSS ORTHODONTICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	4318	SC

General Provider Information

NPI Number	:	1376809772
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSS ORTHODONTICS LLC

Provider Business Mailing Address
First Line	:	3508 CADUCEUS DR
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29588-2902
Country	:	US
Telephone Number	:	843-293-3522
Fax Number	:	843-293-0973

Provider Business Practice Location Address
First Line	:	3508 CADUCEUS DR
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29588-2902
Country	:	US
Telephone Number	:	843-293-3522
Fax Number	:	843-293-0973

Authorized Official
Title or Position	:	ORTHODONTIST
Name	:	DR. MICHAEL R MUNN
Credential	:	DMD,MS
Telephone Number	:	843-293-3522

Provider Enumeration Date	:	04/10/2012
Last Update Date	:	04/10/2012

Similar Medicare Providers

1023014057 — DR. MARK H SCHECKER M.D.
Practice Location Address:

3516 CADUCEUS DR
MYRTLE BEACH, SC
29588-2902

Practice Phone: 843-293-0093
Practice Fax: 843-293-0096

1518040518 — DR. LORING LEE ROSS D.D.S., M.S.
Practice Location Address:

3508 CADUCEUS DR
MYRTLE BEACH, SC
29588-2902

Practice Phone: 843-293-3522
Practice Fax: 843-293-0973

1720286743 — COASTAL CAROLINA ALLERGY & ASTHMA ASSOCIATES, PC
Practice Location Address:

3516 CADUCEUS DR
MYRTLE BEACH, SC
29588-2902

Practice Phone: 843-293-0093
Practice Fax: 843-293-0096

1609050046 — DR. MICHAEL RYAN MUNN D.M.D.
Practice Location Address:

3508 CADUCEUS DR
MYRTLE BEACH, SC
29588-2902

Practice Phone: 843-293-3522
Practice Fax: 843-293-0973

1518719830 — KELLY SCHWEERS DMD, MSD
Practice Location Address:

3508 CADUCEUS DR
MYRTLE BEACH, SC
29588-2902

Practice Phone: 843-293-3522
Practice Fax:

1235065236 — JAMIE TERESA ZINGLEMAN PMHNP
Practice Location Address:

2902 WILEY DR # 29582
NORTH MYRTLE BEACH, SC
29582-4532

Practice Phone: 404-561-1782
Practice Fax:

Directions to “ROSS ORTHODONTICS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.