| Coastal Cosmetic Dental | |
|
1247 Highway 17 Little River SC 29566-9211 | |
| (843) 249-4092 | |
| Not Available |
| Full Name | Coastal Cosmetic Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1247 Highway 17, Little River, South Carolina |
| Authorized Official Name and Position | Hillary Thull (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Cosmetic Dental Po Box 635 Little River SC 29566-0635 Ph: () - | Coastal Cosmetic Dental 1247 Highway 17 Little River SC 29566-9211 Ph: (843) 249-4092 |
| NPI Number | 1558128058 |
|---|---|
| Provider Enumeration Date | 03/01/2024 |
| Last Update Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558128058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Little River Medical Center Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 Fax: 843-663-8154 | |
Little River Medical Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-1013 Fax: 843-663-1017 | |
Little River Medical Center, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 Fax: 843-663-1017 | |
Dental Professionals Of South Carolina, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 Pavilion Dr, Little River, SC 29566 Phone: 843-633-8385 Fax: 843-633-8362 | |
Coastal Cosmetic Dental Associates, Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1247 Highway 17, Little River, SC 29566 Phone: 843-249-4092 Fax: 843-249-1638 | |
Pee Dee Elementary Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 287 Highway 90 E, Suite 3, Little River, SC 29566 Phone: 843-663-1013 Fax: 843-663-1017 |