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

Coosaw Dental, LLC

Organization Dentist · NPI 1124574132

Coosaw Dental, LLC is a Dentist in North Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2016.

Licensed in
SC
In the registry since
2016
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

8626 Dorchester Rd Ste 102
North Charleston, SC 29420-7328
Phone: (843) 225-7614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4650 (SC)

Record details

NPI number1124574132
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Pare — Owner/Dentist · (843) 225-7614
NPI enumeratedAugust 30, 2016
Last updated in NPPESAugust 30, 2016
Mailing address8626 Dorchester Rd Ste 102, North Charleston, SC 29420-7328

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