Surfside Dental LLC

Surfside Dental LLC is a healthcare organization registered as General Practice Dentistry in Surfside Beach, SC, holding Type 2 (organization) NPI 1316216500 since 2011. The authorized official on file is Scott Willis, Member.

✓ Active NPI ✓ Valid NPI checksum

NPI	1316216500
Entity type	Organization (Type 2)
Legal business name	Surfside Dental LLC
Other name	<Unavail>
Practice address	1665 GLENNS BAY RD, Surfside Beach, SC, 29575
Phone	8432156080
Fax	8886367841
Enumeration date	2011-12-19
Last updated in NPPES	2011-12-19

Authorized official

Name	Scott Willis
Title	Member
Phone	8436520011

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223G0001X	General Practice Dentistry	Primary	1693	SC

Copy-ready billing details

Provider: Surfside Dental LLC
NPI: 1316216500
Taxonomy: 1223G0001X (General Practice Dentistry)
Address: 1665 GLENNS BAY RD, Surfside Beach, SC, 29575

Providers at this address

NPI	Name	Type	Specialty	Location
1629139043	Charles Rogers	Individual	Chiropractor	Surfside Beach, SC
1649331000	Willis Chiro Med of Mb	Organization	Chiropractor	Surfside Beach, SC
1174784847	Willis Chiro Med of Mb	Organization	Chiropractor	Surfside Beach, SC
1902560428	Healing Journey LLC	Organization	Physical Therapist	Surfside Beach, SC

Verify this record

Cross-check NPI 1316216500 against the authoritative CMS record: view Surfside Dental LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Surfside Dental LLC located?

The practice location on file with NPPES is in Surfside Beach, SC.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-12-19. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-12-19.