Healthcare Provider Details

I. General information

NPI: 1942136270
Provider Name (Legal Business Name): MEGAN ELIZABETH SCHORNACK DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ROBERT M GRISSOM PKWY & 29TH AVE N
MYRTLE BEACH SC
29579
US

IV. Provider business mailing address

ROBERT M GRISSOM PKWY & 29TH AVE N
MYRTLE BEACH SC
29579
US

V. Phone/Fax

Practice location:
  • Phone: 843-492-0157
  • Fax:
Mailing address:
  • Phone: 843-492-0157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number11478
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: