Coastal Kids Dental & Braces
NPI #1598154999 in Hanahan, South Carolina
Provider Information
- NPI Number
- 1598154999
- Entity Type
- Organization
- Organization Name
- Coastal Kids Dental & Braces
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Jan 22, 2015
- Last Updated
- Jan 22, 2015
Practice Location
- Address
- 1000 TANNER FORD BLVD
- Address 2
- STE 370
- City
- Hanahan
- State
- South Carolina
- ZIP Code
- 29410-4707
- Phone
- (843) 818-5437
Authorized Official
- Name
- MR. JACOB DRIGGERS
- Title
- COO
- Phone
- (843) 818-5437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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