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Coastal Carolina Cosmetic Facial Surgery

Oral and Maxillofacial Surgery Clinic/Center in Myrtle Beach, SC · enumerated 2018 · authorized official Michael Johnson, Managing Member.

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

National Provider Identifier

1972081941

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Registry record

Entity type Organization (Type 2)
Legal business name Coastal Carolina Cosmetic Facial Surgery
Practice address 133 Towne Centre Pkwy, Myrtle Beach, SC, 29579
Phone (843) 448-1621
Enumeration date Aug 1, 2018
Last updated in NPPES Dec 10, 2019

Taxonomy & classification

261QS0112X Oral and Maxillofacial Surgery Clinic/Center Ambulatory Health Care Facilities · License 8911 (SC) Primary

Authorized official

Name Michael Johnson
Title Managing Member
Phone (720) 201-5801

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-12-10. Verify at npiregistry.cms.hhs.gov.
Where is Coastal Carolina Cosmetic Facial Surgery located?
The practice location on file with NPPES is in Myrtle Beach, SC.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-10.