Organization · Type 2 NPI

Coastal Kids Dental

Pediatric Dentistry · Louisville, KY

NPI number 1801036637 Active

Practice location

1931 Strathmoor Blvd
Louisville, KY 40205-2525

Call (843) 478-8437 Map

Mailing address

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

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.

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About NPI 1801036637

Coastal Kids Dental's National Provider Identifier is 1801036637, issued on Mar 6, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Louisville, KY. The record was last updated on Apr 1, 2009.