| Coastal Dental Group Llc | |
|
11990 Hwy 17 Bypass Unit 8 Murrells Inlet SC 29576-7790 | |
| (843) 651-0314 | |
| (843) 651-3662 |
| Full Name | Coastal Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11990 Hwy 17 Bypass Unit 8, Murrells Inlet, South Carolina |
| Authorized Official Name and Position | Bradley B Tiller (CEO) |
| Authorized Official Contact | 8436510314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Dental Group Llc 11990 Hwy 17 Bypass Unit 8 Murrells Inlet SC 29576-7790 Ph: (843) 651-0314 | Coastal Dental Group Llc 11990 Hwy 17 Bypass Unit 8 Murrells Inlet SC 29576-7790 Ph: (843) 651-0314 |
| NPI Number | 1144684853 |
|---|---|
| Provider Enumeration Date | 04/08/2016 |
| Last Update Date | 04/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144684853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | SC3537 (South Carolina) | Primary |
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› Verified 4 days ago
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