| Coastal Endontics, Llc | |
|
277b Willbrook Boulevard Pawleys Island SC 29585-8776 | |
| (843) 235-9780 | |
| (843) 235-8444 |
| Full Name | Coastal Endontics, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 277b Willbrook Boulevard, Pawleys Island, South Carolina |
| Authorized Official Name and Position | Russell S Eddy (MEMBER) |
| Authorized Official Contact | 8432359780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Endontics, Llc Po Box 4776 Pawleys Island SC 29585-8776 Ph: (843) 235-9780 | Coastal Endontics, Llc 277b Willbrook Boulevard Pawleys Island SC 29585-8776 Ph: (843) 235-9780 |
| NPI Number | 1093996282 |
|---|---|
| Provider Enumeration Date | 11/16/2007 |
| Last Update Date | 11/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093996282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3662 (South Carolina) | Primary |
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