COASTAL ORAL AND MAXILLOFACIAL SURGERY, PC (NPI# 1093874562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093874562 |
| Entity Type | Organization |
| Organization Name | COASTAL ORAL AND MAXILLOFACIAL SURGERY, PC |
| Other Organization Name | JEFFREY S HALL, MD, DMD |
| Practice Address |
9221 University Blvd Building D, Suite 1-a North Charleston SC 29406-9148 |
| Practice Telephone | 8435690904 |
| Practice Fax Number | 8435690961 |
| Mailing Telephone | 8435690904 |
| Mailing Fax Number | 8435690961 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2016-06-22 |
| Authorized Official Name | DR. JEFFREY S HALL (PRACTITIONER) |
| Authorized Official Telephone | 8435690904 |
| Authorized Official Credential | MD, DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2921 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZA9890 | 05 |
| Other Name | Type Code |
|---|---|
| jeffrey s hall, md, dmd | Other Name - Individual/Organization |
| Street Address |
9221 UNIVERSITY BLVD BUILDING D, SUITE 1-A |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-9148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447249461 | Salvatore Anthony Moscatello | Internal Medicine | 9221 University Blvd, Ste. 310, North Charleston, SC 29406-9148 | 2005-10-21 |
| 1427238328 | Christine A Case | Obstetrics & Gynecology | 9221 University Blvd, Suite 2e, North Charleston, SC 29406-9148 | 2007-11-07 |
| 1134251952 | April Garris Buckingham | Physician Assistant | 9221 University Blvd, Suite 2e, North Charleston, SC 29406-9148 | 2007-03-09 |
| 1164510111 | R. Jason J. Hehr | Dentist | 9221 University Blvd, Building D Suite 1a, North Charleston, SC 29406-9148 | 2006-10-11 |
| 1073600540 | Darren S Sidney | Internal Medicine | 9221 University Blvd, Suite 102, North Charleston, SC 29406-9148 | 2006-10-06 |
| 1184730749 | Coastal Carolina Multispecialty Assocs, LLC | Specialist | 9221 University Blvd, Suite 102, North Charleston, SC 29406-9148 | 2006-08-23 |
| 1649229956 | Jeffrey S Hall | Dentist | 9221 University Blvd, Building D, Suite 1-a, North Charleston, SC 29406-9148 | 2006-05-06 |
| 1457338766 | Patricia Ann Stemple | Physician Assistant | 9221 University Blvd, Suite 2 E, North Charleston, SC 29406-9148 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982688560 | Pinckney Lancaster Harper Jr. | Dentist | 7465a Northside Dr, North Charleston, SC 29420-4209 | 2005-12-06 |
| 1164510111 | R. Jason J. Hehr | Dentist | 9221 University Blvd, Building D Suite 1a, North Charleston, SC 29406-9148 | 2006-10-11 |
| 1649229956 | Jeffrey S Hall | Dentist | 9221 University Blvd, Building D, Suite 1-a, North Charleston, SC 29406-9148 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356963508 | Clements Ferry Dentistry LLC | Dentist | 1951 Clements Ferry Rd Ste 201, Charleston, SC 29492-8325 | 2020-05-11 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1417309956 | Marian Mitchell Oliver Corp. | Dentist | 939 Jc Calhoun Drive, Orangeburg, SC 29115 | 2016-07-08 |
| 1205290764 | Sloan Rehder | Dentist | 2051 Sam Rittenberg Blvd, Charleston, SC 29407-4683 | 2016-04-11 |
| 1689039869 | Faircloth and Bakeman Partnership | Dentist | 150 Crepe Myrtle Dr, Aiken, SC 29803-7543 | 2015-12-15 |
| 1679954705 | Coafs Lab | Dentist | 125 Wappoo Creek Dr Ste C1, Charleston, SC 29412-2161 | 2015-06-15 |
| 1952798357 | Now Or Never 2011, LLC | Dentist | 2270 Ashley Crossing Dr Ste 175, Charleston, SC 29414-5863 | 2015-04-23 |
| 1922499011 | Chapin Oral and Maxillofacial Surgery, LLC | Dentist | 112 St. Peter's Church Road, Chapin, SC 29036 | 2015-02-10 |
| 1437557121 | Sumter Oral & Maxillofacial Surgery | Dentist | 624 Front St, Georgetown, SC 29440-3624 | 2014-12-11 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
Please comment or provide details below to improve the information on COASTAL ORAL AND MAXILLOFACIAL SURGERY, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.