Coastal Palm Orthodontics Llc

LBN: Coastal Palm Orthodontics Llc
Coastal Palm Orthodontics Llc is an health care organization with primary practice located at 1255 Tadlock Dr Unit B , Murrells Inlet SC 29576-7973. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Coastal Palm Orthodontics Llc can be contacted via phone (843) 697-1423, or through Mccracken, Russell Blake via phone (843) 697-1423.

Contact Information

Primary practice address
1255 Tadlock Dr Unit B Murrells Inlet SC 29576-7973
Phone: (843) 697-1423
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccracken, Russell Blake Doctor of Dental Medicine (DMD)
Phone: (843) 697-1423

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1568201192
LBN Legal business name Coastal Palm Orthodontics Llc
DBA Doing business as
Authorized official Mccracken, Russell Blake Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2024
Last updated May 22nd, 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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