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COASTAL PERIODONTICS LLC
NPI 1972302453
Dentist - Periodontics in Myrtle Beach, SC

Active since March 10, 2025
4610 OLEANDER DR STE 102, MYRTLE BEACH, SC 29577(843) 839-4711 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coastal Periodontics Llc NPPES

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

COASTAL PERIODONTICS LLC (NPI 1972302453), doing business as Coastal Periodontics, is a healthcare organization registered as a periodontics in Myrtle Beach, South Carolina and active in the NPI registry since March 2025. The organization lists Leonard James Cochrane, Owner/periodontist, as its authorized official.

NPPES Registry Identity

NPI1972302453
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCOASTAL PERIODONTICS LLC
Location Address4610 OLEANDER DR STE 102Myrtle Beach, SC 29577-5752
Mailing Address4610 Oleander Dr Ste 102Myrtle Beach, SC 29577-5752 · (843) 839-4711
Phone(843) 839-4711
Organization SubpartNo
Authorized OfficialLeonard James CochraneOwner/periodontist · (864) 313-6656
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 9, 2025
✔ NPI 1972302453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4610 OLEANDER DR STE 102, Myrtle Beach, SC 29577
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Other Names 1

Doing Business AsCoastal Periodontics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. LEONARD JAMES COCHRANE III DMD
Dentist
4610 OLEANDER DR STE 102
MYRTLE BEACH, SC 29577
Horry County (864) 313-6656
AMNESTY HEALTH GROUP LLC
Clinic/Center
4610 OLEANDER DR STE 102
MYRTLE BEACH, SC 29577
Horry County (843) 945-9803
REGENERATIVE HEALTH 360 LLC
Clinic/Center
4610 OLEANDER DR STE 102
MYRTLE BEACH, SC 29577
Horry County (843) 945-9803

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 Periodontics LLC's NPI number?

The NPI number for Coastal Periodontics LLC is 1972302453. It was assigned to this organization in the NPPES registry on March 10, 2025. The provider is doing business as Coastal Periodontics.

Where is Coastal Periodontics LLC located?

Coastal Periodontics LLC is located at 4610 Oleander Dr Ste 102, Myrtle Beach, SC 29577. The listed phone number is (843) 839-4711.

What is Coastal Periodontics LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Coastal Periodontics LLC was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.