Coastal Carolina Oral Maxillofacial Surgery
NPI #1194812339 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1194812339
- Entity Type
- Organization
- Organization Name
- Coastal Carolina Oral Maxillofacial Surgery
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Oct 9, 2006
- Last Updated
- Apr 11, 2024
Practice Location
- Address
- 133 TOWNE CENTRE PKWY
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29579
- Phone
- (843) 448-1621
Authorized Official
- Name
- WILMA POND
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (843) 448-1621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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