MEDICARE: JOHN MICHAEL REARDEN D.M.D.

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	3556	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871541896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN MICHAEL REARDEN D.M.D.

Provider Business Mailing Address
First Line	:	3012 NEWCASTLE LOOP
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29588
Country	:	US
Telephone Number	:	843-215-2599
Fax Number	:	843-215-0238

Provider Business Practice Location Address
First Line	:	3012 NEWCASTLE LOOP
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29588
Country	:	US
Telephone Number	:	843-215-2599
Fax Number	:	843-215-0238

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1346108206 — AGAPE COMPASSION CARE
Practice Location Address:

10048 HIGHWAY 707
MYRTLE BEACH, SC
29588-5248

Practice Phone: 843-267-2234
Practice Fax:

1083943815 — PRS II, LLC
Practice Location Address:

3076 DICK POND RD UNIT 4
MYRTLE BEACH, SC
29588-7992

Practice Phone: 843-831-0163
Practice Fax: 843-831-0173

1750331005 — RICHARD ALLEN OWENS JR. PT
Practice Location Address:

3076 DICK POND RD UNIT 4
MYRTLE BEACH, SC
29588-7992

Practice Phone: 843-831-0163
Practice Fax: 843-831-0173

1558836114 — VICTORIA VASSAS MS, OTR/L
Practice Location Address:

501 SAINT CHARLES CIR
MYRTLE BEACH, SC
29588-1135

Practice Phone: 862-703-0584
Practice Fax:

1093686065 — HEATHER TIPPING
Practice Location Address:

4318 FLAT BAY CIR
MYRTLE BEACH, SC
29588-8900

Practice Phone: 272-208-8977
Practice Fax:

1437016086 — DIAMOND GOODMAN
Practice Location Address:

6280 SALEM RD
MYRTLE BEACH, SC
29588-5208

Practice Phone: 843-602-6881
Practice Fax:

1023014057 — DR. MARK H SCHECKER M.D.
Practice Location Address:

3516 CADUCEUS DR
MYRTLE BEACH, SC
29588-2902

Practice Phone: 843-293-0093
Practice Fax: 843-293-0096

Directions to “ JOHN MICHAEL REARDEN D.M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.