Coastal Orthodontics
NPI #1013273549 in Beaufort, South Carolina
Provider Information
- NPI Number
- 1013273549
- Entity Type
- Organization
- Organization Name
- Coastal Orthodontics
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 10, 2012
- Last Updated
- Feb 6, 2015
Practice Location
- Address
- 1600 BURNSIDE ST
- Address 2
- SUITE 105
- City
- Beaufort
- State
- South Carolina
- ZIP Code
- 29902-3779
- Phone
- (843) 379-9200
Authorized Official
- Name
- DR. MALLOY GROVES SCOTT
- Title
- OFFICER
- Phone
- (843) 379-9200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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