OrganizationActive
Coastal Kids Dental
NPI 1659693695 · Pediatric Dentistry · Hanahan, SC
Provider details
- NPI number
- 1659693695
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jacob Driggers, Director of Operations(843) 818-4537
- License
- SC3889 (SC)
Specialties & taxonomies
Dental Providers
Practice location
1000 Tanner Ford Blvd
Suite 370
Hanahan, SC 29410-4707
Phone: (843) 818-5437
Fax: (843) 725-1594
Approximate (ZIP-level) locationGet directions
Mailing address
216 E Main St
Moncks Corner, SC 29461-3709
Registry dates
- Enumerated
- 2010-02-18
- Last updated
- 2010-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.