Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Kids Dental, PA

Organization Dentist · NPI 1548659022

Coastal Kids Dental, PA is a Dentist 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
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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