COASTAL PERIODONTICS PRACTICE is a periodontics dentist in Fort Walton Beach, FL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. COASTAL PERIODONTICS PRACTICE NPI is 1205449584. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
82 BEAL PKWY SW
FORT WALTON BEACH, FL
ZIP 32548-331
Phone: (850) 862-6666
The provider's authorized official is Faith Gaskins .
The authorized official title is Director Of Credentialing and has the following contact phone number (972) 869-3789.
The enumeration date for this NPI number is 8/26/2020 and was last updated on 8/26/2020.