1. Home
  2. Directory
  3. South Carolina
  4. Myrtle Beach
  5. Clinic Center
  6. NPI Profile

COASTAL CAROLINA COSMETIC FACIAL SURGERY
NPI 1972081941
Clinic/Center - Oral and Maxillofacial Surgery in Myrtle Beach, SC

Active since August 01, 2018
133 TOWNE CENTRE PKWY, MYRTLE BEACH, SC 29579(843) 448-1621 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2019, Aug 1, 2018 (2 updates tracked since 2018).

About Coastal Carolina Cosmetic Facial Surgery NPPES

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

COASTAL CAROLINA COSMETIC FACIAL SURGERY (NPI 1972081941) is a healthcare organization registered as an oral and maxillofacial surgery in Myrtle Beach, South Carolina and active in the NPI registry since August 2018. The organization lists Michael Johnson, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1972081941
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameCOASTAL CAROLINA COSMETIC FACIAL SURGERY
Location Address133 TOWNE CENTRE PKWYMyrtle Beach, SC 29579-3493
Mailing Address6210 N Ocean BlvdMyrtle Beach, SC 29572-3300 · (720) 201-5801
Phone(843) 448-1621
Organization SubpartNo
Authorized OfficialMichael JohnsonManaging Member · (720) 201-5801
Enumeration DateAugust 1, 2018
Last NPPES UpdateDecember 10, 20192 updates tracked since enumeration
✔ NPI 1972081941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
License✔ Licensed in SC · 8911
Definition
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
133 TOWNE CENTRE PKWY, Myrtle Beach, SC 29579
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

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

COASTAL CAROLINA ORAL MAXILLOFACIAL SURGERY
Dentist (Oral and Maxillofacial Surgery)
133 TOWNE CENTRE PKWY
MYRTLE BEACH, SC 29579
Horry County (843) 448-1621
DR. EDWARD F. ECKERT JR. DDS
Dentist (Oral and Maxillofacial Surgery)
133 TOWNE CENTRE PKWY
MYRTLE BEACH, SC 29579
Horry County (843) 448-1621
DR. MICHAEL REECE COFER DDS
Dentist
133 TOWNE CENTRE PKWY
MYRTLE BEACH, SC 29579
Horry County (843) 448-1621
DR. BRIAN C HARSHA DDS
Dentist (Oral and Maxillofacial Surgery)
133 TOWNE CENTRE PKWY
MYRTLE BEACH, SC 29579
Horry County (843) 448-1621
CHAD SPENCER ADAMS DDS
Student in an Organized Health Care Education/Training Program
133 TOWNE CENTRE PKWY
MYRTLE BEACH, SC 29579
Horry County (843) 448-1621

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 Carolina Cosmetic Facial Surgery's NPI number?

The NPI number for Coastal Carolina Cosmetic Facial Surgery is 1972081941. It was assigned to this organization in the NPPES registry on August 1, 2018.

Where is Coastal Carolina Cosmetic Facial Surgery located?

Coastal Carolina Cosmetic Facial Surgery is located at 133 Towne Centre Pkwy, Myrtle Beach, SC 29579. The listed phone number is (843) 448-1621.

What is Coastal Carolina Cosmetic Facial Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Coastal Carolina Cosmetic Facial Surgery was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.