Coastal Oral And Maxillofacial Surgery, Pc in North Charleston - Oral And Maxillofacial Surgery
Coastal Oral And Maxillofacial Surgery, Pc - NPI 1093874562
Coastal Oral And Maxillofacial Surgery, Pc is a Oral And Maxillofacial Surgery in North Charleston, South Carolina. Coastal Oral And Maxillofacial Surgery, Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Coastal Oral And Maxillofacial Surgery, Pc is 1093874562. The last update date is 2016-06-22.
Coastal Oral And Maxillofacial Surgery, Pc's current location address is 9221 University Blvd, North Charleston, South Carolina. You can contact this provider via phone number 8435690904 and fax number 8435690961. The mailing address for Coastal Oral And Maxillofacial Surgery, Pc is 9221 University Blvd, North Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Oral And Maxillofacial Surgery, Pc |
|---|---|
| Address | 9221 University Blvd, North Charleston, South Carolina |
| Phone Number | 8435690904 |
| Fax Number | 8435690961 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTITION |
|---|---|
| Authorized Official Name | Hall S Jeffrey |
| Credentials | MD, DMD |
| Telephone Number | 8435690904 |
NPI Number Detail
| NPI Number | 1093874562 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2016-06-22 |
Provider Mailing Address Detail
| Address | 9221 University Blvd |
|---|---|
| City | North Charleston |
| State | South Carolina (SC) |
| Post Code | 294069148 |
| Phone Number | 8435690904 |
| Fax Number | 8435690961 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2921 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZA9890 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Coastal Oral And Maxillofacial Surgery, Pc by the Centers for Medicare & Medicaid Services?
The Coastal Oral And Maxillofacial Surgery, Pc has been assigned the NPI (National Provider Identifier) 1093874562. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Coastal Oral And Maxillofacial Surgery, Pc is physically located?
The Coastal Oral And Maxillofacial Surgery, Pc is physically situated at the following address: 9221 University Blvd, North Charleston, SC, 294069148.
What is Coastal Oral And Maxillofacial Surgery, Pc's area of expertise and its corresponding taxonomy classification?
The Coastal Oral And Maxillofacial Surgery, Pc's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093874562 to Coastal Oral And Maxillofacial Surgery, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1093874562 to Coastal Oral And Maxillofacial Surgery, Pc on 2006-12-08.
As of what date were the details related to Coastal Oral And Maxillofacial Surgery, Pc most recently updated or revised?
The information pertaining to Coastal Oral And Maxillofacial Surgery, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2016-06-22.