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Coastal Carolina Oral Maxillofacial Surgery
Oral and Maxillofacial Surgery Clinic/Center in Myrtle Beach, South Carolina
NPI 1194812339

Coastal Carolina Oral Maxillofacial Surgery is a Oral and Maxillofacial Surgery Clinic/Center based in Myrtle Beach, SC and is specialized in Oral and Maxillofacial Surgery. Coastal Carolina Oral Maxillofacial Surgery practices in Myrtle Beach, SC. The NPI Number for Coastal Carolina Oral Maxillofacial Surgery is 1194812339 and holds a License No. (South Carolina).

The current practice location address for Coastal Carolina Oral Maxillofacial Surgery is 133 Towne Centre Pkwy, Myrtle Beach, SC and can be reached out via phone at 843-448-1621 and via fax at 843-626-2501.

Location: 133 Towne Centre Pkwy, Myrtle Beach, SC, 29579
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194812339
Provider Name
Coastal Carolina Oral Maxillofacial Surgery
Credential
Provider Entity Type
Organization
Address
133 Towne Centre Pkwy, Myrtle Beach, SC, 29579
Phone Number
843-448-1621
Fax Number
843-626-2501
Provider Enumeration Date
10/09/2006
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
133 Towne Centre Pkwy
City
Myrtle Beach
State
South Carolina
Zip
29579
Phone Number
843-448-1621
Fax Number
843-626-2501
person
Provider Business Mailing Address Details
Address
133 Towne Centre Pkwy
City
Myrtle Beach
State
South Carolina
Zip
29579
Phone Number
843-448-1621
Fax Number
843-626-2501
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
()
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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