OrganizationActive
Coastal Cosmetic Dental Associates,
NPI 1437284270 · General Practice Dentistry · Little River, SC
Provider details
- NPI number
- 1437284270
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Patty Van Wie, Pres(843) 249-4092
- License
- 2537 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1247 Highway 17
Little River, SC 29566-9211
Phone: (843) 249-4092
Fax: (843) 249-1638
Street-level locationGet directions
Mailing address
Po Box 635
Little River, SC 29566-0635
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.