Juan Faja-Fernandez
Orthodontists
107 Surgeons Drive
Myrtle Beach
, South Carolina 29579
Juan Faja-Fernandez
Orthodontists
107 Surgeons Drive
Myrtle Beach
, South Carolina 29579
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Juan Faja-Fernandez
- Po Box 13799
- Florence, SC
- Zip : 29504-3799
- Phone :
Second Address
- Juan Faja-Fernandez
- 107 Surgeons Drive
- Myrtle Beach, SC
- Zip : 29579
- Phone : (843) 206-1116
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FAQs
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Is Juan Faja-Fernandez a sole practitioner?
Is Juan Faja-Fernandez accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 4461 | SC |
National Provider Identifier
| NPI | 1053754127 |
|---|---|
| Provider Name | Juan Faja-Fernandez |
| First Address | Florence, SC 29504-3799 |
| Second Address | Myrtle Beach, SC 29579 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2013 |
| Last Update Date | 09/04/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.