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Coastal Carolina Cosmetic Facial Surgery
Oral and Maxillofacial Surgery Clinic/Center in Myrtle Beach, South Carolina
NPI 1972081941

Coastal Carolina Cosmetic Facial Surgery is a Oral and Maxillofacial Surgery Clinic/Center based in Myrtle Beach, SC and is specialized in Oral and Maxillofacial Surgery. Coastal Carolina Cosmetic Facial Surgery practices in Myrtle Beach, SC. The NPI Number for Coastal Carolina Cosmetic Facial Surgery is 1972081941 and holds a License No. 8911 (South Carolina).

The current practice location address for Coastal Carolina Cosmetic Facial Surgery is 133 Towne Centre Pkwy, Myrtle Beach, SC and can be reached out via phone at 843-448-1621. You can also correspond with Coastal Carolina Cosmetic Facial Surgery through the mailing address at 6210 N OCEAN BLVD, MYRTLE BEACH, SC - 29572-3300 (mailing address contact number: 720-201-5801).

Location: 133 Towne Centre Pkwy, Myrtle Beach, SC, 29572-3300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972081941
Provider Name
Coastal Carolina Cosmetic Facial Surgery
Credential
Provider Entity Type
Organization
Address
133 Towne Centre Pkwy, Myrtle Beach, SC, 29572-3300
Phone Number
843-448-1621
Fax Number
Provider Enumeration Date
08/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
133 Towne Centre Pkwy
City
Myrtle Beach
State
South Carolina
Zip
29579-3493
Phone Number
843-448-1621
Fax Number
person
Provider Business Mailing Address Details
Address
133 Towne Centre Pkwy
City
Myrtle Beach
State
South Carolina
Zip
29579-3493
Phone Number
843-448-1621
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
8911 (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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