Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUAN FAJA-FERNANDEZ, D.M.D.
Active Sole ProprietorJUAN FAJA-FERNANDEZ, D.M.D. is a Orthodontics healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1053754127 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1053754127
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2013 (13.325920376302 yrs)
- Last Updated
- Apr 9, 2013
- License
-
4461 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
107 SURGEONS DRIVEMYRTLE BEACH, SC, 29579Browse SC providers · Browse ZIP 29579
- Phone
- 8432061116
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in MYRTLE BEACH, SC
| Name | Credential | NPI |
|---|---|---|
| DR. JACK L GREEN JR. | DDS MSD | 1770608119 |
| DR. RUSSELL B MCCRACKEN | DMD | 1750581682 |
| STEPHANIE BECKER | — | 1639745326 |
| KELLY SCHWEERS | DMD, MSD | 1518719830 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.