| Coastal Cosmetic Dental Associates, | |
|
1247 Highway 17 Little River SC 29566-9211 | |
| (843) 249-4092 | |
| (843) 249-1638 |
| Full Name | Coastal Cosmetic Dental Associates, |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1247 Highway 17, Little River, South Carolina |
| Authorized Official Name and Position | Patty R Van Wie (PRES) |
| Authorized Official Contact | 8432494092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Cosmetic Dental Associates, Po Box 635 Little River SC 29566-0635 Ph: (843) 249-4092 | Coastal Cosmetic Dental Associates, 1247 Highway 17 Little River SC 29566-9211 Ph: (843) 249-4092 |
| NPI Number | 1437284270 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437284270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2537 (South Carolina) | Primary |
Carolina Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3702 Sea Mountain Hwy, Little River, SC 29566 Phone: 843-734-0212 Fax: 843-734-0215 | |
Little River Medical Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-1013 Fax: 843-663-1017 | |
Little River Medical Center, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 Fax: 843-663-1017 | |
Dental Professionals Of South Carolina, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Pavilion Dr, Little River, SC 29566 Phone: 843-633-8385 Fax: 843-633-8362 | |
Little River Medical Center, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 287 Highway 90 E, Suite 3, Little River, SC 29566 Phone: 843-663-1013 Fax: 843-663-1017 | |
Little River Medical Center, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1283 Highway 57 S, Little River, SC 29566 Phone: 843-390-8800 Fax: 843-390-8700 |