Search › South Carolina › Orthodontics and Dentofacial Orthopedics Dentistry
Juan Faja-Fernandez, D.M.D
NPI 1053754127 · on the registry since 2013 · sole proprietor
Practice
- Address
- 107 Surgeons Drive
Myrtle Beach, SC 29579 - Phone
- (843) 206-1116
- Organisation at this address
- Seabreeze Orthodontics
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina