OrganizationActive
Coastal Kids Dental & Braces
NPI 1932598331 · Orthodontics and Dentofacial Orthopedics Dentistry · Moncks Corner, SC
Provider details
- NPI number
- 1932598331
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Parent organization
- Coastal Kids Dental, PA
- Authorized official
- Jacob Driggers, Coo
- License
- 4209 (SC)
Practice location
216 E Main St
Moncks Corner, SC 29461-3709
Phone: (843) 818-5437
Fax: (843) 725-1594
Mailing address
808 Wappoo Rd
Charleston, SC 29407-5865
Registry dates
- Enumerated
- 2015-01-22
- Last updated
- 2015-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.