Coastal Carolina Family Dentistry, Llc in North Charleston - Dental

Coastal Carolina Family Dentistry, Llc - NPI 1952387896

Coastal Carolina Family Dentistry, Llc is a Dental in North Charleston, South Carolina. Coastal Carolina Family Dentistry, Llc practices all healthcare services and medical treatments related to Dental. The NPI Number for Coastal Carolina Family Dentistry, Llc is 1952387896. The last update date is 2023-09-06.

Coastal Carolina Family Dentistry, Llc's current location address is 8471 Resolute Way, North Charleston, South Carolina. You can contact this provider via phone number 8437606565 and fax number 8437606484. The mailing address for Coastal Carolina Family Dentistry, Llc is 8471 Resolute Way, North Charleston, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Coastal Carolina Family Dentistry, Llc
Address 8471 Resolute Way, North Charleston, South Carolina
Phone Number 8437606565
Fax Number 8437606484
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SOLE MEMBE
Authorized Official Name Niemann S Carrie
Credentials D.D.S.
Telephone Number 8437606565

NPI Number Detail

NPI Number 1952387896
Provider Enumeration Date 2005-12-22
Last Updated Date 2023-09-06

Provider Mailing Address Detail

Address 8471 Resolute Way
City North Charleston
State South Carolina (SC)
Post Code 294207381
Phone Number 8437606565
Fax Number 8437606484

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about Coastal Carolina Family Dentistry, Llc

What is the Coastal Carolina Family Dentistry, Llc's 1952387896?

The Coastal Carolina Family Dentistry, Llc's NPI (National Provider Identifier) Number is 1952387896. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Coastal Carolina Family Dentistry, Llc's physical address?

The Coastal Carolina Family Dentistry, Llc is physically located at 8471 Resolute Way, in the city of North Charleston, SC, with the postal code 294207381.

What is Coastal Carolina Family Dentistry, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Coastal Carolina Family Dentistry, Llc is Dental, and the taxonomy code that categorizes this field of expertise is 261Qd0000X.

On what date did the Coastal Carolina Family Dentistry, Llc receive its 1952387896 assignment from the Centers for Medicare & Medicaid Services?

The Coastal Carolina Family Dentistry, Llc was assigned its 1952387896 by the Centers for Medicare & Medicaid Services on 2005-12-22.

As of what date were the details related to Coastal Carolina Family Dentistry, Llc most recently updated or revised?

The information pertaining to Coastal Carolina Family Dentistry, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2023-09-06.

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