Organization
COASTAL ORAL AND MAXILLOFACIAL SURGERY, PC
Active
Other names
jeffrey s hall, md, dmd
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY S HALL MD, DMD (PRACTITIONER)
(843) 569-0904
Entity
Organization
Contact information
Practice address
9221 UNIVERSITY BLVD, BUILDING D, SUITE 1-A, NORTH CHARLESTON, SC 29406-9148
(843) 569-0904
(843) 569-0961
Mailing address
9221 UNIVERSITY BLVD, BUILDING D, SUITE 1-A, NORTH CHARLESTON, SC 29406-9148
(843) 569-0904
(843) 569-0961
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2921
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9890
—
SC
Enumeration date
12/08/2006
Last updated
06/22/2016
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