| Coast Dental P.a. | |
|
5000 Us Highway 17 Ste 4 Fleming Island FL 32003-8237 | |
| (904) 215-7855 | |
| (904) 215-7856 |
| Full Name | Coast Dental P.a. |
|---|---|
| Speciality | Dentist |
| Location | 5000 Us Highway 17 Ste 4, Fleming Island, Florida |
| Authorized Official Name and Position | Melody Rivera (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8133507166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coast Dental P.a. 5706 Benjamin Center Dr Ste 103 Tampa FL 33634-5262 Ph: (813) 350-7166 | Coast Dental P.a. 5000 Us Highway 17 Ste 4 Fleming Island FL 32003-8237 Ph: (904) 215-7855 |
| NPI Number | 1124694559 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 05/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124694559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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