# COASTAL ORAL AND MAXILLOFACIAL SURGERY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** jeffrey s hall, md, dmd
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093874562
- **Authorized official:** DR. JEFFREY S HALL MD, DMD (PRACTITIONER)
- **Authorized official phone:** (843) 569-0904

## Contact information

- **Practice address:** 9221 UNIVERSITY BLVD, BUILDING D, SUITE 1-A, NORTH CHARLESTON, SC 29406-9148
- **Practice address phone:** (843) 569-0904
- **Practice address fax:** (843) 569-0961
- **Mailing address:** 9221 UNIVERSITY BLVD, BUILDING D, SUITE 1-A, NORTH CHARLESTON, SC 29406-9148
- **Mailing address phone:** (843) 569-0904
- **Mailing address fax:** (843) 569-0961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2921 | SC | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 06/22/2016