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Coastal Kids Dental,PA

Pediatric Dentistry in Walterboro, SC · enumerated 2015 · authorized official Jacob Driggers, Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1548659022

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Registry record

Entity type Organization (Type 2)
Legal business name Coastal Kids Dental,PA
Other name <Unavail>
Practice address 118 S Walter St, Walterboro, SC, 29488
Phone (843) 818-5437
Fax (843) 725-1594
Enumeration date Jan 21, 2015
Last updated in NPPES Jan 21, 2015

Taxonomy & classification

122300000X Dentist Dental Providers · License 3889 (SC) Secondary
1223P0221X Pediatric Dentistry Dental Providers · License 3889 (SC) Primary
1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers · License 4476 (SC) Secondary

Authorized official

Name Jacob Driggers
Title Coo
Phone (843) 818-5437

Other identifiers

Identifier Type State Issuer
ZA9380 Medicaid SC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Coastal Kids Dental,PA?
Coastal Kids Dental,PA is registered in NPPES as a Pediatric Dentistry (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-01-21.