Organization · Type 2 NPI

Coastal Oral and Maxillofacial Surgery, PC

Oral and Maxillofacial Surgery (Dentist) · North Charleston, SC

NPI number 1093874562 Active

Practice location

9221 University Blvd, Building D, Suite 1-A
North Charleston, SC 29406-9148

Fax (843) 569-0961

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X2921 (SC)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

9 other providers at this address

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About NPI 1093874562

Coastal Oral and Maxillofacial Surgery, PC's National Provider Identifier is 1093874562, issued on Dec 8, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in North Charleston, SC. The record was last updated on Jun 22, 2016.