Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COASTAL PERIODONTICS LLC
Active OrganizationCOASTAL PERIODONTICS LLC is a Periodontology organization located in MYRTLE BEACH, South Carolina. NPI 1972302453 is currently active in the NPPES registry. Verify at CMS.
Periodontology · MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1972302453
- Provider Type
- Organization
- NPI Issued
- Mar 10, 2025 (1.4625812217143 yrs)
- Last Updated
- Mar 10, 2025
Practice Information
- Address
-
4610 OLEANDER DR STE 102MYRTLE BEACH, SC, 295775752Browse SC providers · Browse ZIP 29577
- Phone
- 8438394711
- Primary Specialty
-
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.