Coastal Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3298 Issued in SC

Legal business name

COASTAL FAMILY DENTISTRY

Practice address

3098 Highway 17 N
Mount Pleasant, SC 29466-9315

Phone

(843) 881-1418

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Kimberly Ann Wiggins

Title

Office Manager

Phone

(843) 881-1418

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Christina Church, D.M.D.

  • Dentist
  • Mount Pleasant, SC
  • NPI 1740661925
  NPD (past)
• Paul Scott Gawrych Jr., DMD

  • General Practice Dentistry
  • Mount Pleasant, SC
  • NPI 1295230027
  NPD (past)

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1679773899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3098 HIGHWAY 17 N",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294669315",
            "telephone_number": "843-881-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3098 HIGHWAY 17 N",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294669315",
            "telephone_number": "843-881-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-881-1418"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3539",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Adolescent Behavioral Health
• Coastal Carolina Physical Therapy LLC
• Coastal Counseling and Supervision, LLC
• Coastal Dermatology, LLC
• Coastal Early Intervention LLC
• Coastal Fertility Center
• Coastal Neuropsychology Services, P.a.
• Coastal Pediatric Associates, PA
• Coastal Podiatry LLC
• Coastal Podiatry, LLC

• General Practice Dentistry in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 Mar 24, 2008; 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.