Organization · Type 2 NPI

Coastal Kids Dental

Pediatric Dentistry · Hanahan, SC

NPI number 1659693695 Active

Practice location

1000 Tanner Ford Blvd, Suite 370
Hanahan, SC 29410-4707

Fax (843) 725-1594

Mailing address

216 E Main St
Moncks Corner, SC 29461-3709

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XSC3889 (SC)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

6 other providers at this address

About NPI 1659693695

Coastal Kids Dental's National Provider Identifier is 1659693695, issued on Feb 18, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Hanahan, SC. The record was last updated on Feb 18, 2010.