MEDICARE: CAROLINA CENTER FOR ADVANCED DENTISTRY MURRELLS INLET, 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	122300000X	Dentist

General Provider Information

NPI Number	:	1538610357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA CENTER FOR ADVANCED DENTISTRY MURRELLS INLET, LLC

Provider Business Mailing Address
First Line	:	4310 HIGHWAY 17 STE 101
Second Line	:
City	:	MURRELLS INLET
State	:	SC
Zip	:	29576-5022
Country	:	US
Telephone Number	:	843-898-5377
Fax Number	:	843-651-9779

Provider Business Practice Location Address
First Line	:	4310 HIGHWAY 17 BYPASS
Second Line	:	SUITE 101
City	:	MURRELLS INLET
State	:	SC
Zip	:	29576-5022
Country	:	US
Telephone Number	:	843-898-5377
Fax Number	:	843-651-9779

Authorized Official
Title or Position	:	OWNER AND DENTIST
Name	:	DR. JEFFREY W HOROWITZ
Credential	:	DMD
Telephone Number	:	843-457-4179

Provider Enumeration Date	:	10/17/2016
Last Update Date	:	06/02/2025

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