COASTKIDS PEDIATRIC DENTISTRY PLLC NPI 1093262974

NPI Information

COASTKIDS PEDIATRIC DENTISTRY, PLLC is a pediatric dentistry dentist in Gulfport, MS. The provider is 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. COASTKIDS PEDIATRIC DENTISTRY, PLLC NPI is 1093262974. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1635 E PASS RD
GULFPORT, MS
ZIP 39507-527
Phone: (228) 896-5197

The provider's authorized official is Lanette L Henry .
The authorized official title is Office Administrator and has the following contact phone number (228) 896-5197.

The enumeration date for this NPI number is 9/8/2016 and was last updated on 9/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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