OrganizationActive
Coastal Periodontics LLC
NPI 1972302453 · Periodontics · Myrtle Beach, SC
Coastal Periodontics LLC is a Periodontics organization in Myrtle Beach, SC (NPI 1972302453).
Provider details
- NPI number
- 1972302453
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Leonard Cochrane, Owner/Periodontist(864) 313-6656
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
4610 Oleander Dr Ste 102
Myrtle Beach, SC 29577-5752
Phone: (843) 839-4711
Street-level locationGet directions
Mailing address
4610 Oleander Dr Ste 102
Myrtle Beach, SC 29577-5752
Other names (DBA / former)
- Doing business as
- Coastal Periodontics
Registry dates
- Enumerated
- 2025-03-10
- Last updated
- 2025-03-10
- Certified
- 2025-03-09
Frequently asked questions
- What is Coastal Periodontics LLC's NPI number?
- Coastal Periodontics LLC's National Provider Identifier (NPI) is 1972302453, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Periodontics LLC?
- Coastal Periodontics LLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Coastal Periodontics LLC located?
- Coastal Periodontics LLC's practice location on file with NPPES is 4610 Oleander Dr Ste 102, Myrtle Beach, SC 29577-5752.
- What is Coastal Periodontics LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Periodontics LLC is (843) 839-4711.
- Who is the authorized official for Coastal Periodontics LLC?
- The authorized official listed on Coastal Periodontics LLC's NPPES record is Leonard Cochrane, Owner/Periodontist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Periodontics LLC's NPI active?
- Yes — Coastal Periodontics LLC's NPI (1972302453) is active in the NPPES registry as of the last update on 2025-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.