OrganizationActive
Black Myrtle Endodontics, LLC
NPI 1790512655 · Endodontics · Myrtle Beach, SC
Black Myrtle Endodontics, LLC is a Endodontics organization in Myrtle Beach, SC (NPI 1790512655).
Provider details
- NPI number
- 1790512655
- Entity type
- Organization
- Primary specialty
- EndodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Christian Black, Owner(843) 492-6724
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
4610 Oleander Dr Ste 201
Myrtle Beach, SC 29577-5752
Phone: (843) 492-6724
Street-level locationGet directions
Mailing address
4610 Oleander Dr Ste 201
Myrtle Beach, SC 29577-5752
Other names (DBA / former)
- Doing business as
- Black Myrtle Endodontics
Registry dates
- Enumerated
- 2024-09-16
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Frequently asked questions
- What is Black Myrtle Endodontics, LLC's NPI number?
- Black Myrtle Endodontics, LLC's National Provider Identifier (NPI) is 1790512655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Myrtle Endodontics, LLC?
- Black Myrtle Endodontics, LLC is classified in the NPPES registry as Endodontics (Dental Providers).
- Where is Black Myrtle Endodontics, LLC located?
- Black Myrtle Endodontics, LLC's practice location on file with NPPES is 4610 Oleander Dr Ste 201, Myrtle Beach, SC 29577-5752.
- What is Black Myrtle Endodontics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Black Myrtle Endodontics, LLC is (843) 492-6724.
- Who is the authorized official for Black Myrtle Endodontics, LLC?
- The authorized official listed on Black Myrtle Endodontics, LLC's NPPES record is Christian Black, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Myrtle Endodontics, LLC's NPI active?
- Yes — Black Myrtle Endodontics, LLC's NPI (1790512655) is active in the NPPES registry as of the last update on 2024-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.