COASTAL KIDS DENTAL (NPI# 1801036637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801036637 |
Entity Type | Organization |
Organization Name | COASTAL KIDS DENTAL |
Practice Address |
1931 Strathmoor Blvd Louisville KY 40205-2525 |
Mailing Address |
1000 Tanner Ford Blvd Suite 370 Hanahan SC 29410-4707 |
Practice Telephone | 8434788437 |
Mailing Telephone | 8434788437 |
Enumeration Date | 2009-03-06 |
Last Update Date | 2009-04-01 |
Authorized Official Name | ISABEL GHOWANLU DRIGGERS (DENTIST/OWNER) |
Authorized Official Telephone | 8434788437 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
SC3889 | SC | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | ZX3889 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093117558 | Coastal Kids Dental | Dentist | 808 Wappoo Rd, Charleston, SC 29407-5865 | 2014-09-16 |
1659693695 | Coastal Kids Dental | Dentist | 1000 Tanner Ford Blvd, Suite 370, Hanahan, SC 29410-4707 | 2010-02-18 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Coastal Kids Dental PA | 808 Wappoo Road, Charleston, SC 29407 |
Street Address |
1931 STRATHMOOR BLVD |
City | LOUISVILLE |
State | KY |
Zip Code | 40205-2525 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558844027 | Arthur James Shulthise Jr. | Family Medicine | Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 | 2018-09-11 |
1609392133 | Leah Elizabeth Storch | Occupational Therapist | 2231 Wendell Ave, Louisville, KY 40205 | 2017-08-16 |
1437679842 | Michael Edward Lovelace | Family Medicine | 1800 Stevens Avenue, Louisville, KY 40205 | 2017-06-27 |
1699205328 | Nathaniel George Kennedy | Physician Assistant | 3101 Bardstown Road, Sullivan University Physician Assistant Program, Louisville, KY 40205 | 2017-06-14 |
1225584972 | Kalpana Bhaskar | Pharmacist | 3036 Bardstown Road, Louisville, KY 40205 | 2016-08-31 |
1013398627 | William Wood | Hearing Instrument Specialist | 2239 Bardstown Rd., Louisville, KY 40205 | 2015-06-10 |
1811306707 | Alaina Rotelli | Pharmacist | 2100 Gardiner Lane, Louisville, KY 40205 | 2014-08-05 |
1013325760 | Jaime Alexandra Seelmeyer | Counselor | 1718 Deerwood Ave, Apt 1, Louisville, KY 40205 | 2014-07-25 |
1992009336 | Priscilla Freeman | Case Manager/Care Coordinator | 3171 Taylorsville Rd, 1st Floor, Louisville, KY 40205 | 2010-12-28 |
1457501413 | Amanda Christine Voils-levenda | Psychologist | 1911 Bardstown Rd, Suite #bl, Louisville, KY 40205 | 2008-09-26 |
Find all providers in zip 40205 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518599802 | Derby City Pediatric Dentistry, Pllc | Dentist | 2120 High Wickham Pl Ste 103, Louisville, KY 40245-5903 | 2020-02-05 |
1588204655 | Kids Dentistree of Ky LLC | Dentist | 8727 Old Bardstown Rd, Louisville, KY 40291-4490 | 2020-01-07 |
1780141580 | Morgan Marie Nowery | Dentist | 134 Gillette Ave, Louisville, KY 40214-1914 | 2019-02-27 |
1578030995 | Huda Hussain Alkuhl | Dentist | 501 S Preston St Fl 3, Louisville, KY 40202-1701 | 2018-10-24 |
1083144265 | Kelly Wessel | Dentist | 4413 Santa Paula Ln, Louisville, KY 40219-3820 | 2017-06-19 |
1548620560 | Myron F Shuster Dmd Psc | Dentist | 3101 Breckenridge Ln Ste 4b, Louisville, KY 40220-2797 | 2016-03-03 |
1396138616 | Uday K Bahunutula | Dentist | 2002 Fandango Ct, Louisville, KY 40245-5441 | 2015-03-11 |
1255757852 | Dupont Pediatric Dentistry | Dentist | 1001 Dupont Square North, Louisville, KY 40207 | 2014-03-07 |
1659610269 | Kids Dentistry- Dixie Highway Pllc | Dentist | 9707 Dixie Hwy, B, Louisville, KY 40272-3939 | 2013-02-04 |
1821317132 | Jenna R Schulten | Dentist | 1001 N Dupont Sq, Louisville, KY 40207-4612 | 2010-05-26 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40205 |
Please comment or provide details below to improve the information on COASTAL KIDS DENTAL.
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.