Coastal Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

SC3537 Issued in SC

Legal business name

COASTAL DENTAL GROUP LLC

Practice address

11990 Hwy 17 Bypass Unit 8
Murrells Inlet, SC 29576-7790

Phone

(843) 651-0314

Fax

(843) 651-3662

NPI assigned

Apr 8, 2016

Last updated

Apr 26, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bradley B Tiller, D.M.DNPI 1407093842

Title

Ceo

Phone

(843) 651-0314

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley B Tiller, D.M.D.

  • Dentist
  • Murrells Inlet, SC
  • NPI 1407093842
  NPD (past) Authorized official
• Logan David Barnes, D.M.D.

  • General Practice Dentistry
  • Murrells Inlet, SC
  • NPI 1104207968
  NPD (past)
• Faith Hope, DDS

  • Dentist
  • Murrells Inlet, SC
  • NPI 1487330213
  NPD (past)
• Ashley Hurley, DMD

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1871107409
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1144684853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11990 HWY 17 BYPASS UNIT 8",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767790",
            "telephone_number": "843-651-0314",
            "fax_number": "843-651-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 HWY 17 BYPASS UNIT 8",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767790",
            "telephone_number": "843-651-0314",
            "fax_number": "843-651-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "TILLER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-651-0314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC3537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Health Solutions
• Elizabeth Mary Chouinard, APRN
• Coastal Cancer Center, LLC (Coastal Cancer Center)
• Coastal Carolina Breast Center LLC
• Coastal Carolina Primary Care of Murrells Inlet (Palmetto Internal Medicine)
• Coastal Eye Group, P.C.
• Coastal Eye Management LLC
• Coastal Healthrx LLC
• Coastal House Calls
• Coastal House Calls, PC

• General Practice Dentistry in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.