| Coastal Kids Dental | |
|
1000 Tanner Ford Blvd Suite 370 Hanahan SC 29410-4707 | |
| (843) 818-5437 | |
| (843) 725-1594 |
| Full Name | Coastal Kids Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1000 Tanner Ford Blvd, Hanahan, South Carolina |
| Authorized Official Name and Position | Jacob G Driggers (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8438184537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Kids Dental 216 E Main St Moncks Corner SC 29461-3709 Ph: (843) 818-5437 | Coastal Kids Dental 1000 Tanner Ford Blvd Suite 370 Hanahan SC 29410-4707 Ph: (843) 818-5437 |
| NPI Number | 1659693695 |
|---|---|
| Provider Enumeration Date | 02/18/2010 |
| Last Update Date | 02/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659693695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | SC3889 (South Carolina) | Primary |
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