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COASTAL ORTHODONTICS
NPI 1013273549
Clinic/Center - Dental in Beaufort, SC

Active since April 10, 2012
1600 BURNSIDE ST, SUITE 105, BEAUFORT, SC 29902(843) 379-9200 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About COASTAL ORTHODONTICS

This page provides the complete NPI Profile along with additional information for Coastal Orthodontics, a provider established in Beaufort, South Carolina operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1013273549 assigned on April 2012. The practitioner's primary taxonomy code is 261QD0000X with license number 4410 (SC). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Malloy Groves Scott (Officer)

NPI
1013273549 Verify this NPI
Provider Name
COASTAL ORTHODONTICS
Entity Type
Organization
Location Address
1600 BURNSIDE ST SUITE 105 BEAUFORT, SC 29902
Location Phone
(843) 379-9200
Mailing Address
1600 BURNSIDE ST SUITE 105 BEAUFORT, SC 29902
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2012
Last Update Date
02-06-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
4410
License State
SC

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MALLOY GROVES SCOTT

Authorized Official Title
OFFICER
Authorized Official Phone
(843) 379-9200

Reviews for COASTAL ORTHODONTICS

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

DR. MALLORY GROVES SCOTT DMD, MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
1600 BURNSIDE ST, SUITE 105
BEAUFORT, SC 29902
Beaufort County (843) 379-9200

Frequently Asked Questions

What is COASTAL ORTHODONTICS's NPI number?

The NPI number assigned to this healthcare provider is 1013273549, enumerated as an "organization" on April 10, 2012.

Where is the provider located?

The provider is located at 1600 BURNSIDE ST SUITE 105 BEAUFORT, SC 29902 and the phone number is (843) 379-9200.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.