DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COASTAL PEDIATRIC DENTISTRY, LLC

Active Organization

Dental Clinic · GULFPORT, MS

Registration Details

NPI Number
1184167553
Provider Type
Organization
NPI Issued
Dec 2, 2016 (9.4175042739768 yrs)
Last Updated
Dec 2, 2016
License
3502-09 (MS)

Practice Information

Address
1119 42ND AVE
GULFPORT, MS, 395012664
Browse MS providers · Browse ZIP 39501
Phone
2288648521
Primary Specialty
Dental Clinic
261QD0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.