# COASTAL KIDS DENTAL PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962847814
- **Authorized official:** ISABEL DRIGGERS (OWNER)
- **Authorized official phone:** (843) 818-5437

## Contact information

- **Practice address:** 8600 DORCHESTER RD, SUITE 104, NORTH CHARLESTON, SC 29420-7382
- **Practice address phone:** (843) 818-5437
- **Mailing address:** 1000 TANNER FORD BLVD, SUITE 370, HANAHAN, SC 29410-4707
- **Mailing address phone:** (843) 818-5437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 3889 | SC | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 4476 | SC | — |

## Other

- **Enumeration date:** 05/06/2013
- **Last updated:** 05/06/2013