COASTAL KIDS DENTAL
NPI 1093117558
Dentist - Pediatric Dentistry in Charleston, SC

Q: What is Coastal Kids Dental's NPI number?

The NPI number for Coastal Kids Dental is 1093117558. It was assigned to this organization in the NPPES registry on September 16, 2014.

Q: What is Coastal Kids Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since September 16, 2014

808 WAPPOO RD, CHARLESTON, SC 29407(843) 818-5437(843) 725-1594 Get Directions Write a Review

NPPES record last updated: September 16, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Coastal Kids Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL KIDS DENTAL (NPI 1093117558) is a healthcare organization registered as a pediatric dentistry in Charleston, South Carolina and active in the NPI registry since September 2014. The organization lists Jacob Driggers, Owner, as its authorized official.

NPPES Registry Identity

NPI1093117558

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameCOASTAL KIDS DENTAL

Location Address808 WAPPOO RDCharleston, SC 29407-5865

Mailing Address808 Wappoo RdCharleston, SC 29407-5865 · (843) 818-5437 · Fax (843) 725-1594

Phone(843) 818-5437

Fax(843) 725-1594

Organization SubpartNo

Authorized OfficialJacob DriggersOwner · (843) 818-5437

Enumeration DateSeptember 16, 2014

✔ NPI 1093117558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentist · General PracticeTaxonomy 1223G0001X

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

808 WAPPOO RD, Charleston, SC 29407

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY MIRRIELEES

Dentist (Orthodontics and Dentofacial Orthopedics)