COASTAL CAROLINA ORAL MAXILLOFACIAL SURGERY is an oral and maxillofacial surgery dentist in Myrtle Beach, SC. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. COASTAL CAROLINA ORAL MAXILLOFACIAL SURGERY NPI is 1194812339. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
133 TOWNE CENTRE PKWY
MYRTLE BEACH, SC
ZIP 29579
Phone: (843) 448-1621
Fax: (843) 626-2501
The provider's authorized official is Wilma Pond .
The authorized official title is Practice Administrator and has the following contact phone number (843) 448-1621.
The enumeration date for this NPI number is 10/9/2006 and was last updated on 4/11/2024.