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

Coastal Periodontics LLC

Organization Periodontics · NPI 1972302453

Coastal Periodontics LLC is a Periodontics in Myrtle Beach, South Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4610 Oleander Dr Ste 102
Myrtle Beach, SC 29577-5752
Phone: (843) 839-4711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1972302453
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leonard Cochrane — Owner/Periodontist · (864) 313-6656
Other names Coastal Periodontics
NPI enumeratedMarch 10, 2025
Last updated in NPPESMarch 10, 2025
Certification dateMarch 9, 2025
Mailing address4610 Oleander Dr Ste 102, Myrtle Beach, SC 29577-5752

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