GULF COAST DENTAL CARE PLLC NPI 1417961376

NPI Information

  • NPI: 1417961376
  • Provider Name: GULF COAST DENTAL CARE PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Former Legal Business Name: GULF COAST DENTAL CARE PA
  • Address: 15503 OAK LN # 300B
    GULFPORT, MS
    ZIP 39503
  • Phone: (228) 832-3231

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NPI Details

GULF COAST DENTAL CARE PLLC is a dental clinic center in Gulfport, MS. GULF COAST DENTAL CARE PLLC NPI is 1417961376. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Gulf Coast Dental Care Pa.

The provider's business location address is:

15503 OAK LN # 300B
GULFPORT, MS
ZIP 39503-697
Phone: (228) 832-3231
Fax: (228) 832-0186

The provider's authorized official is Jennifer M Covington .
The authorized official title is Office Manager and has the following contact phone number (228) 832-3231.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 6/6/2024.

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
1261QD0000XClinic/CenterDentalYes

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: 3/30/2025

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