institution
Coastkids Pediatric Dentistry, Pllc
Pediatric Dentist in Gulfport, Mississippi
NPI 1093262974

Coastkids Pediatric Dentistry, Pllc is a Pediatric Dentist based in Gulfport, MS and is specialized in Pediatric Dentistry. Coastkids Pediatric Dentistry, Pllc practices in Gulfport, MS. The NPI Number for Coastkids Pediatric Dentistry, Pllc is 1093262974 and holds a License No. 2005-83 (Mississippi).

The current practice location address for Coastkids Pediatric Dentistry, Pllc is 1635 E Pass Rd, Gulfport, MS and can be reached out via phone at 228-896-5197. You can also correspond with Coastkids Pediatric Dentistry, Pllc through the mailing address at 1635 E PASS RD, GULFPORT, MS - 39507-3527 (mailing address contact number: 228-896-5197).

Location: 1635 E Pass Rd, Gulfport, MS, 39507-3527
institution
Provider Profile Details
NPI Number
1093262974
Provider Name
Coastkids Pediatric Dentistry, Pllc
Credential
Provider Entity Type
Organization
Address
1635 E Pass Rd, Gulfport, MS, 39507-3527
Phone Number
228-896-5197
Fax Number
Provider Enumeration Date
09/08/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05579706 05 MS
07734393 05 MS
institution
Provider Business Practice Location Address Details
Address
1635 E Pass Rd
City
State
Zip
39507-3527
Phone Number
228-896-5197
Fax Number
person
Provider Business Mailing Address Details
Address
1635 E Pass Rd
City
State
Zip
39507-3527
Phone Number
228-896-5197
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
2005-83 (Mississippi)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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