Coastal Kids Dental
NPI 1093117558ActiveOrganization· Dentist, Pediatric Dentistry· Charleston, SC
Dentist, Pediatric Dentistry in Charleston, South Carolina, registered in NPPES in September 2014. The authorized official on file is Jacob Driggers, Owner.
Overview
| NPI | 1093117558 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2014 |
| Last updated in NPPES | Sep 16, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | — | — |
| Dentist, General Practice | 1223G0001X | — | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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