is a Dental Clinic in Walterboro, South Carolina. It is located at 118 S Walter St, Walterboro, SC and its contact number is 843-818-5437. The authorized person for is Mr. Jacob Driggers
who is Coo of the clinic and their contact number is 843-818-5437. Other organizations associated with this clinic are Coastal Kids Dental & Braces, Coastal Kids Dental,pa, The primary license number for is 3889 (Pediatric Dentistry) in South Carolina. Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Dentistry
Clinic Address:
118 S Walter St, Walterboro, South Carolina, 29488-3956
Phone:
843-818-5437
Fax:
843-725-1594
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Jacob Driggers
Position:
Coo
Contact Number:
843-818-5437
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1548659022
NPI Enumeration Date:
21 Jan, 2015
NPI Last Update On:
21 Jan, 2015
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Coastal Kids Dental & Braces
Orthodontics and Dentofacial Orthopedics
1376932798
Coastal Kids Dental,pa
Dentistry
1548659022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
3889
South Carolina
Primary
Dentist
3889
South Carolina
Secondary
Orthodontics and Dentofacial Orthopedics
4476
South Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
ZA9380
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
808 Wappoo Rd, Charleston, South Carolina
Zip:
29407-5865
Phone Number:
843-818-5437
Fax Number:
843-725-1594
Patients can reach at 118 S Walter St, Walterboro, South Carolina or can call to book an appointment on 843-818-5437. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.