| Coastal Oral And Maxillofacial Surgery, Pc | |
|
9221 University Blvd Building D, Suite 1-a North Charleston SC 29406-9148 | |
| (843) 569-0904 | |
| (843) 569-0961 |
| Full Name | Coastal Oral And Maxillofacial Surgery, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 9221 University Blvd, North Charleston, South Carolina |
| Authorized Official Name and Position | Jeffrey S Hall (PRACTITIONER) |
| Authorized Official Contact | 8435690904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Oral And Maxillofacial Surgery, Pc 9221 University Blvd Building D, Suite 1-a North Charleston SC 29406-9148 Ph: (843) 569-0904 | Coastal Oral And Maxillofacial Surgery, Pc 9221 University Blvd Building D, Suite 1-a North Charleston SC 29406-9148 Ph: (843) 569-0904 |
| NPI Number | 1093874562 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 06/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093874562 | NPI | - | NPPES |
| ZA9890 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2921 (South Carolina) | Primary |
Sweetgrass Dental Associates Dds, Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 4950 Centre Pointe Dr Ste 114, North Charleston, SC 29418 Phone: 843-709-7116 | |
John Durant Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7455 Cross County Rd Ste 4, North Charleston, SC 29418 Phone: 843-552-4771 | |
Charleston Pediatric Dentistry, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9217 University Blvd Ste 1c, North Charleston, SC 29406 Phone: 843-797-5133 Fax: 843-797-5865 | |
Charleston Denture Center - Norht Charleston, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5711 Rivers Ave, North Charleston, SC 29406 Phone: 843-744-8338 | |
Julian H. Campbell, Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3188 W. Montague Ave, North Charleston, SC 29418 Phone: 843-554-3300 Fax: 888-508-3080 | |
Orthodontic Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2679 Lake Park Dr, North Charleston, SC 29406 Phone: 843-553-2255 Fax: 843-797-1231 |