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General NPI Number Information
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NPI Number | 1114879269
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Entity Type | Organization
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Legal Business Name | PEARLY WHITES LLC
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 95 MCLEOD HEALTH BLVD
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City | MYRTLE BEAVH
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State | SC
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Zip | 29579
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Country | US
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Telephone | 843-385-9032
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Fax |
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Provider Business Mailing Address
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Address Line | 95 MCLEOD HEALTH BLVD
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City | MYRTLE BEAVH
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State | SC
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Zip | 29579
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | CHRISTY R BALDWIN
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Credential |
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Telephone | 919-345-9511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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