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COASTAL KIDS DENTAL & BRACES
NPI 1548659022
Dentist - Pediatric Dentistry in Walterboro, SC

Active since January 21, 2015
118 S WALTER ST, WALTERBORO, SC 29488(843) 818-5437(843) 725-1594 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coastal Kids Dental & Braces NPPES

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

COASTAL KIDS DENTAL & BRACES (NPI 1548659022) is a healthcare organization registered as a pediatric dentistry in Walterboro, South Carolina and active in the NPI registry since January 2015. The organization lists Jacob Driggers, Coo, as its authorized official.

NPPES Registry Identity

NPI1548659022
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCOASTAL KIDS DENTAL,PA
Location Address118 S WALTER STWalterboro, SC 29488-3956
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 DriggersCoo · (843) 818-5437
Enumeration DateJanuary 21, 2015
✔ NPI 1548659022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in SC · 3889
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 ListedDentistTaxonomy 122300000X · License 3889 (SC)
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License 4476 (SC)
118 S WALTER ST, Walterboro, SC 29488
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Other Names 1

Doing Business AsCoastal Kids Dental & Braces

Other Identifiers 1

MedicaidZA9380SC

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

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

COASTAL KIDS DENTAL & BRACES
Dentist (Orthodontics and Dentofacial Orthopedics)
118 S WALTER ST
WALTERBORO, SC 29488
Colleton County (843) 818-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Kids Dental,pa's NPI number?

The NPI number for Coastal Kids Dental,pa is 1548659022. It was assigned to this organization in the NPPES registry on January 21, 2015. The provider is doing business as Coastal Kids Dental & Braces.

Where is Coastal Kids Dental,pa located?

Coastal Kids Dental,pa is located at 118 S Walter St, Walterboro, SC 29488. The listed phone number is (843) 818-5437.

What is Coastal Kids Dental,pa's specialty?

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

When was this NPI record last updated?

The NPPES record for Coastal Kids Dental,pa was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.