Coastal Carolina Family Dentistry, LLC
NPI #1952387896 in North Charleston, South Carolina
Provider Information
- NPI Number
- 1952387896
- Entity Type
- Organization
- Organization Name
- Coastal Carolina Family Dentistry, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 22, 2005
- Last Updated
- Sep 6, 2023
Practice Location
- Address
- 8471 RESOLUTE WAY
- Address 2
- SUITE 104
- City
- North Charleston
- State
- South Carolina
- ZIP Code
- 29420-7381
- Phone
- (843) 760-6565
Authorized Official
- Name
- DR. CARRIE S NIEMANN, D.D.S.
- Title
- SOLE MEMBER
- Phone
- (843) 760-6565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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