Coastal Carolina Oral Maxillofacial Surgery

LBN: Coastal Carolina Oral Maxillofacial Surgery
Coastal Carolina Oral Maxillofacial Surgery is an health care organization with primary practice located at 133 Towne Centre Pkwy , Myrtle Beach SC 29579. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty. Coastal Carolina Oral Maxillofacial Surgery can be contacted via phone (843) 448-1621, or through Pond, Wilma via phone (843) 448-1621.

Contact Information

Primary practice address
133 Towne Centre Pkwy Myrtle Beach SC 29579
Phone: (843) 448-1621
Fax: (843) 626-2501
Website:
Map and Directions
Authorized official contact:
Name: Pond, Wilma
Phone: (843) 448-1621

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X

Profile Details

NPI number 1194812339
LBN Legal business name Coastal Carolina Oral Maxillofacial Surgery
DBA Doing business as
Authorized official Pond, Wilma
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2006
Last updated Apr 11th, 2024 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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