OrganizationActive
Coastal Carolina Oral Maxillofacial Surgery
NPI 1194812339 · Oral and Maxillofacial Surgery (Dentist) · Myrtle Beach, SC
Provider details
- NPI number
- 1194812339
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Wilma Pond, Practice Administrator(843) 448-1621
Specialties & taxonomies
Dental Providers
Ambulatory Health Care Facilities
Practice location
133 Towne Centre Pkwy
Myrtle Beach, SC 29579
Phone: (843) 448-1621
Fax: (843) 626-2501
Approximate (ZIP-level) locationGet directions
Mailing address
133 Towne Centre Pkwy
Myrtle Beach, SC 29579
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2024-04-11
- Certified
- 2024-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.