COASTAL KIDS DENTAL & BRACES (NPI# 1124417522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124417522 |
| Entity Type | Organization |
| Organization Name | COASTAL KIDS DENTAL & BRACES |
| Practice Address |
8600 Dorchester Rd Ste 104 North Charleston SC 29420-7382 |
| Mailing Address |
808 Wappoo Rd Charleston SC 29407-5865 |
| Practice Telephone | 8438185437 |
| Practice Fax Number | 8437251594 |
| Mailing Telephone | 8438185437 |
| Mailing Fax Number | 8437251594 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |
| Authorized Official Name | JACOB DRIGGERS (COO) |
| Authorized Official Telephone | 8438185437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4209 | SC | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4476 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598154999 | Coastal Kids Dental & Braces | Dentist | 1000 Tanner Ford Blvd, Ste 370, Hanahan, SC 29410-4707 | 2015-01-22 |
| 1841689247 | Coastal Kids Dental & Braces | Dentist | 808 Wappoo Rd, Charleston, SC 29407-5865 | 2015-01-22 |
| 1376932798 | Coastal Kids Dental & Braces | Dentist | 118 S Walter St, Walterboro, SC 29488-3956 | 2015-01-22 |
| 1932598331 | Coastal Kids Dental & Braces | Dentist | 216 E Main St, Moncks Corner, SC 29461-3709 | 2015-01-22 |
| Street Address |
8600 DORCHESTER RD STE 104 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29420-7382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962847814 | Coastal Kids Dental Pa | Dentist | 8600 Dorchester Rd, Suite 104, North Charleston, SC 29420-7382 | 2013-05-06 |
| 1215337761 | Brett Mccoy | Physical Therapist | 8600 Dorchester Rd, Suite 204, North Charleston, SC 29420-7382 | 2014-09-02 |
| 1376943555 | Renewal Rehabilitation Center, LLC | Clinic/Center | 8600 Dorchester Rd, Suite 204, North Charleston, SC 29420-7382 | 2014-08-26 |
| 1982035689 | Amanda Davis Guess | Dentist | 8600 Dorchester Rd, North Charleston, SC 29420-7382 | 2013-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467994343 | Sherrel Aiken Brown | Psychologist | 8202 Pleasant Ridge Dr, North Charleston, SC 29420 | 2016-11-09 |
| 1609209014 | Melanie K Wise | Licensed Practical Nurse | 7763 Northside Drive, North Charleston, SC 29420 | 2013-08-21 |
| 1477883767 | Gina H Jones | Counselor | 5421 Riverbluff Pkwy, North Charleston, SC 29420 | 2010-01-08 |
| 1881825933 | Thomas Nelson Pare IIi IIi | Dentist | 8626 Dorchester Road, Ste 102, Coosaw Dental, North Charleston, SC 29420 | 2009-08-06 |
| 1992953012 | Research & Education In Sleep Technologies, LLC | Clinic/Center | 8352 Whitehave Drive, North Charleston, SC 29420 | 2008-09-03 |
| 1194838532 | Raymond S Vicente | Dentist | 7481 Northside Dr, Suite A, North Charleston, SC 29420 | 2006-08-17 |
| 1083628697 | Eunice D Freeman | Counselor | 403 Willow Court, N.charleston, SC 29420 | 2006-07-28 |
| 1750300406 | Alan Boyer Mcdaniel | Specialist | 7510 Northforest Drive, North Charleston, SC 29420 | 2006-07-19 |
| 1548240559 | John Joseph Forney | Family Medicine | 8761 Dorchester Rd Suite 230, Charleston, SC 29420 | 2006-01-18 |
| 1609320217 | Charleston Dermatology, PC | Dermatology | 5401 Netherby Lane, Ste 1202, North Charleston, SC 29420 | 2016-08-11 |
| Find all providers in zip 29420 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962847814 | Coastal Kids Dental Pa | Dentist | 8600 Dorchester Rd, Suite 104, North Charleston, SC 29420-7382 | 2013-05-06 |
| 1861594640 | Bradley Nirenblatt, D.m.d., Pa | Dentist | 2680 Elms Plantation Blvd, Suite 102, North Charleston, SC 29406-7101 | 2006-09-02 |
| 1083722698 | Orthodontic Associates | Dentist | 2679 Lake Park Dr, North Charleston, SC 29406 | 2006-08-25 |
| 1336563659 | Family Orthodontics of S. Carolina, LLC | Dentist | 8730 Northpark Blvd, Ste A, North Charleston, SC 29406-9265 | 2014-02-06 |
| 1982035689 | Amanda Davis Guess | Dentist | 8600 Dorchester Rd, North Charleston, SC 29420-7382 | 2013-12-05 |
| 1649447079 | Lee Hershon | Dentist | 2679 Lake Park Dr, North Charleston, SC 29406-9100 | 2008-05-14 |
| 1750570487 | Bradley Nirenblatt | Dentist | 2680 Elms Plantation Blvd, Suite 102, North Charleston, SC 29406-7101 | 2007-10-18 |
| 1003836776 | Frederick Madison Gunter | Dentist | 7465 Northside Dr, North Charleston, SC 29420-4209 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
| 1518570902 | Foster Orthodontics, Pa | Dentist | 100 Hamlet Cir, Goose Creek, SC 29445-7111 | 2020-08-26 |
| 1740893122 | Foster Orthodontics, Pa | Dentist | 625 Skylark Dr, Charleston, SC 29407-5782 | 2020-08-26 |
| 1629602065 | Keith William Street | Dentist | 1460 John B White Sr Blvd Ste 1-5, Spartanburg, SC 29306-3996 | 2020-02-25 |
| 1225678931 | Rekha Wadhwa | Dentist | 100 Woodruff Place Cir, Simpsonville, SC 29681-3672 | 2020-01-10 |
| 1952965345 | Align America Sc, LLC | Dentist | 259 Textile Way Ste 103, Fort Mill, SC 29715-4550 | 2019-05-01 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1699267021 | Trevan Samp | Dentist | 22 Westedge St Ste 106b, Charleston, SC 29403-6983 | 2018-06-01 |
| 1548759244 | Smile Doctors of South Carolina, P.C. | Dentist | 105 Ben Casey Dr Ste 109, Fort Mill, SC 29708-8557 | 2018-05-08 |
| 1386158541 | Katherine Dean Solomon | Dentist | 102 Buckwalter Pkwy Ste 3j, Bluffton, SC 29910-4130 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29420 |
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| 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.