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COASTAL PEDIATRIC DENTISTRY LLC NPI 1780736546


NPI Information

NPI: 1780736546
Provider Name: COASTAL PEDIATRIC DENTISTRY, LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
23 MAIN ST
SUITE 302
HILTON HEAD, SC
ZIP 29926
Phone: (843) 671-7336
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COASTAL PEDIATRIC DENTISTRY, LLC is a pediatric dentistry dentist in Hilton Head, SC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. COASTAL PEDIATRIC DENTISTRY, LLC NPI is 1780736546. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23 MAIN ST
SUITE 302
HILTON HEAD, SC
ZIP 29926-648
Phone: (843) 671-7336

The provider's authorized official is Brandy L Raney .
The authorized official title is Office Manager and has the following contact phone number (843) 671-7336.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry4076SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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