| Coastal Family Dentistry | |
|
3098 Highway 17 N Mount Pleasant SC 29466-9315 | |
| (843) 881-1418 | |
| Not Available |
| Full Name | Coastal Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3098 Highway 17 N, Mount Pleasant, South Carolina |
| Authorized Official Name and Position | Kimberly Ann Wiggins (OFFICE MANAGER) |
| Authorized Official Contact | 8438811418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Family Dentistry 3098 Highway 17 N Mount Pleasant SC 29466-9315 Ph: (843) 881-1418 | Coastal Family Dentistry 3098 Highway 17 N Mount Pleasant SC 29466-9315 Ph: (843) 881-1418 |
| NPI Number | 1679773899 |
|---|---|
| Provider Enumeration Date | 07/25/2007 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679773899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3539 (South Carolina) | Secondary |
| 1223G0001X | Dentist - General Practice | 3298 (South Carolina) | Primary |
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