Coastal Carolina Cosmetic Facial Surgery
NPI 1972081941 · Oral and Maxillofacial Surgery Clinic/Center · Myrtle Beach, SC
Coastal Carolina Cosmetic Facial Surgery is a Oral and Maxillofacial Surgery Clinic/Center organization in Myrtle Beach, SC (NPI 1972081941).
Provider details
- NPI number
- 1972081941
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Johnson, Managing Member(720) 201-5801
- License
- 8911 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Registry dates
- Enumerated
- 2018-08-01
- Last updated
- 2019-12-10
- Certified
- 2019-12-10
Frequently asked questions
- What is Coastal Carolina Cosmetic Facial Surgery's NPI number?
- Coastal Carolina Cosmetic Facial Surgery's National Provider Identifier (NPI) is 1972081941, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Carolina Cosmetic Facial Surgery?
- Coastal Carolina Cosmetic Facial Surgery is classified in the NPPES registry as Oral and Maxillofacial Surgery Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coastal Carolina Cosmetic Facial Surgery located?
- Coastal Carolina Cosmetic Facial Surgery's practice location on file with NPPES is 133 Towne Centre Pkwy, Myrtle Beach, SC 29579-3493.
- What is Coastal Carolina Cosmetic Facial Surgery's phone number?
- The practice phone number listed in the NPPES registry for Coastal Carolina Cosmetic Facial Surgery is (843) 448-1621.
- Who is the authorized official for Coastal Carolina Cosmetic Facial Surgery?
- The authorized official listed on Coastal Carolina Cosmetic Facial Surgery's NPPES record is Michael Johnson, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Carolina Cosmetic Facial Surgery's NPI active?
- Yes — Coastal Carolina Cosmetic Facial Surgery's NPI (1972081941) is active in the NPPES registry as of the last update on 2019-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.