Healthcare Provider Details

I. General information

NPI: 1164354544
Provider Name (Legal Business Name): KRISTEN ZABEC DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9608 SC-707
MYRLTE BEACH SC
29588
US

IV. Provider business mailing address

1805 BRAEWOOD CT
MYRTLE BEACH SC
29575-5885
US

V. Phone/Fax

Practice location:
  • Phone: 843-808-6025
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number11427
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: