Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Coastal Kids Dental, PA

Organization Dentist · NPI 1548659022

Coastal Kids Dental, PA provides Dentist services in Walterboro, South Carolina. Licensed in South Carolina. Registered with an NPI since 2015.

Licensed in
SC
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

118 S Walter St
Walterboro, SC 29488-3956 Not confirmed with CMS for 11 years — call before visiting
Phone: (843) 818-5437
Fax: (843) 725-1594
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 3889 (SC)
Dentist Taxonomy 122300000X · Licence 3889 (SC)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 4476 (SC)

Record details

NPI number1548659022
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Driggers — Coo · (843) 818-5437
Other names Coastal Kids Dental & Braces
NPI enumeratedJanuary 21, 2015
Last updated in NPPESJanuary 21, 2015
Mailing address808 Wappoo Rd, Charleston, SC 29407-5865

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