MEDICARE: DR. DEOR ZOHAR

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	1223G0001X	General Practice Dentistry	11425	SC

General Provider Information

NPI Number	:	1649100942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEOR ZOHAR

Provider Business Mailing Address
First Line	:	435 OAKMONT DR
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-7286
Country	:	US
Telephone Number	:	843-597-8580
Fax Number	:

Provider Business Practice Location Address
First Line	:	8215 N KINGS HWY
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29572-3062
Country	:	US
Telephone Number	:	843-597-8580
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “ DR. DEOR ZOHAR ” Practice Location

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