Coastal Periodontics LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

COASTAL PERIODONTICS LLC

Practice address

4610 Oleander Dr Ste 102
Myrtle Beach, SC 29577-5752

Phone

(843) 839-4711

NPI assigned

Mar 10, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Leonard James Cochrane III, DMDNPI 1396342762

Title

Owner/Periodontist

Phone

(864) 313-6656

Specialties & licenses 1

Addresses

Other names 1

• Coastal Periodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonard James Cochrane III, DMD

  • Dentist
  • Myrtle Beach, SC
  • NPI 1396342762

  Periodontics

  NPD Authorized official

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1972302453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 OLEANDER DR STE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775752",
            "telephone_number": "843-839-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 OLEANDER DR STE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775752",
            "telephone_number": "843-839-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PERIODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-09",
        "status": "A",
        "authorized_official_last_name": "COCHRANE",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PERIODONTIST",
        "authorized_official_telephone_number": "864-313-6656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coastal Haven Counseling LLC
• Coastal Home Care
• Coastal Human Resources LLC
• Coastal Med Spa, LLC
• Coastal Optical, Incorporated
• Coastal Podiatry Associates PA
• Coastal Podiatry Associates PA
• Coastal Podiatry Associates, PA
• Coastal Recovery & Wellness, LLC
• Coastal Rejuvenation Solutions

• Periodontics in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Periodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.