COASTAL DENTAL SERVICES PLLC NPI 1114447703

NPI Information

NPI: 1114447703
Provider Name: COASTAL DENTAL SERVICES, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5460 BROCKIE ST
VIRGINIA BEACH, VA
ZIP 23464
Phone: (757) 965-5194
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COASTAL DENTAL SERVICES, PLLC is a dental clinic center in Virginia Beach, VA. COASTAL DENTAL SERVICES, PLLC NPI is 1114447703. The provider is registered as an organization entity type.

The provider's business location address is:

5460 BROCKIE ST
VIRGINIA BEACH, VA
ZIP 23464-737
Phone: (757) 965-5194

The provider's authorized official is Mark D Newman .
The authorized official title is President and has the following contact phone number (757) 965-5194.

The enumeration date for this NPI number is 6/23/2017 and was last updated on 7/21/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			No
2	261QD0000X	Clinic/Center	Dental	0443000025	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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