Coastal Kids Dental

LBN: Coastal Kids Dental
Coastal Kids Dental is an health care organization with primary practice located at 1931 Strathmoor Blvd , Louisville KY 40205-2525. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Coastal Kids Dental can be contacted via phone (843) 478-8437, or through Driggers, Isabel Ghowanlu via phone (843) 478-8437.

Contact Information

Primary practice address
1931 Strathmoor Blvd Louisville KY 40205-2525
Phone: (843) 478-8437
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Driggers, Isabel Ghowanlu Doctor of Dental Medicine (DMD)
Phone: (843) 478-8437

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X SC3889 South Carolina

Profile Details

NPI number 1801036637
LBN Legal business name Coastal Kids Dental
DBA Doing business as
Authorized official Driggers, Isabel Ghowanlu Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2009
Last updated Apr 1st, 2009 - about 16 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801036637 NPPES
South Carolina MEDICAID ZX3889

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