| Coastal Pediatric Dentistry, Llc | |
|
23 Main St Suite 302 Hilton Head SC 29926-1648 | |
| (843) 671-7336 | |
| Not Available |
| Full Name | Coastal Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 23 Main St, Hilton Head, South Carolina |
| Authorized Official Name and Position | Brandy L Raney (OFFICE MANAGER) |
| Authorized Official Contact | 8436717336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Pediatric Dentistry, Llc 23 Main St Suite 302 Hilton Head SC 29926-1648 Ph: (843) 671-7336 | Coastal Pediatric Dentistry, Llc 23 Main St Suite 302 Hilton Head SC 29926-1648 Ph: (843) 671-7336 |
| NPI Number | 1780736546 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780736546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4076 (South Carolina) | Primary |
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