institution
Coastal Oral And Maxillofacial Surgery, Pc
Oral and Maxillofacial Surgery (Dentist) in North Charleston, South Carolina
NPI 1093874562

Coastal Oral And Maxillofacial Surgery, Pc is a Oral and Maxillofacial Surgery (Dentist) based in North Charleston, SC and is specialized in Oral and Maxillofacial Surgery. Coastal Oral And Maxillofacial Surgery, Pc practices in North Charleston, SC. The NPI Number for Coastal Oral And Maxillofacial Surgery, Pc is 1093874562 and holds a License No. 2921 (South Carolina).

The current practice location address for Coastal Oral And Maxillofacial Surgery, Pc is 9221 University Blvd, North Charleston, SC and can be reached out via phone at 843-569-0904 and via fax at 843-569-0961.

Location: 9221 University Blvd, North Charleston, SC, 29406-9148
institution
Provider Profile Details
NPI Number
1093874562
Provider Name
Coastal Oral And Maxillofacial Surgery, Pc
Credential
Provider Entity Type
Organization
Address
9221 University Blvd, North Charleston, SC, 29406-9148
Phone Number
843-569-0904
Fax Number
843-569-0961
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZA9890 05 SC
institution
Provider Business Practice Location Address Details
Address
9221 University Blvd
City
State
Zip
29406-9148
Phone Number
843-569-0904
Fax Number
843-569-0961
person
Provider Business Mailing Address Details
Address
9221 University Blvd
City
State
Zip
29406-9148
Phone Number
843-569-0904
Fax Number
843-569-0961
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
2921 (South Carolina)
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.
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