OrganizationActive
Little River Medical Center Inc
NPI 1053471623 · Dentist · Little River, SC
Little River Medical Center Inc is a Dentist organization in Little River, SC (NPI 1053471623).
Provider details
- NPI number
- 1053471623
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Little River Medical Center, Inc.
- Organization subpart
- Yes
- Authorized official
- Avangela Criswell, Business Office Director(843) 663-8017
Specialties & taxonomies
Dental Providers
- Federally Qualified Health Center (FQHC)261QF0400X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4303 Live Oak Dr
Little River, SC 29566-9138
Phone: (843) 663-8000
Fax: (843) 663-8154
Street-level locationGet directions
Mailing address
Po Box 547
Little River, SC 29566-0547
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2012-11-02
Frequently asked questions
- What is Little River Medical Center Inc's NPI number?
- Little River Medical Center Inc's National Provider Identifier (NPI) is 1053471623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Little River Medical Center Inc?
- Little River Medical Center Inc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Little River Medical Center Inc located?
- Little River Medical Center Inc's practice location on file with NPPES is 4303 Live Oak Dr, Little River, SC 29566-9138.
- What is Little River Medical Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Little River Medical Center Inc is (843) 663-8000.
- Who is the authorized official for Little River Medical Center Inc?
- The authorized official listed on Little River Medical Center Inc's NPPES record is Avangela Criswell, Business Office Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Little River Medical Center Inc's NPI active?
- Yes — Little River Medical Center Inc's NPI (1053471623) is active in the NPPES registry as of the last update on 2012-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.