institution
Coastal Pediatric Dentistry, Llc
Dental Clinic/Center in Gulfport, Mississippi
NPI 1184167553

Coastal Pediatric Dentistry, Llc is a Dental Clinic/Center based in Gulfport, MS and is specialized in Dental. Coastal Pediatric Dentistry, Llc practices in Gulfport, MS. The NPI Number for Coastal Pediatric Dentistry, Llc is 1184167553 and holds a License No. 3502-09 (Mississippi).

The current practice location address for Coastal Pediatric Dentistry, Llc is 1119 42Nd Ave, Gulfport, MS and can be reached out via phone at 228-864-8521.

Location: 1119 42Nd Ave, Gulfport, MS, 39501-2664
institution
Provider Profile Details
NPI Number
1184167553
Provider Name
Coastal Pediatric Dentistry, Llc
Credential
Provider Entity Type
Organization
Address
1119 42Nd Ave, Gulfport, MS, 39501-2664
Phone Number
228-864-8521
Fax Number
Provider Enumeration Date
12/02/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1119 42Nd Ave
City
State
Zip
39501-2664
Phone Number
228-864-8521
Fax Number
person
Provider Business Mailing Address Details
Address
1119 42Nd Ave
City
State
Zip
39501-2664
Phone Number
228-864-8521
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
3502-09 (Mississippi)
Definition
Definition to come...
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