Coast Dental P.a. | |
1081 A1a Beach Blvd St Augustine FL 32080-6733 | |
(904) 471-3291 | |
(904) 471-3783 |
Full Name | Coast Dental P.a. |
---|---|
Speciality | Dentist |
Location | 1081 A1a Beach Blvd, St Augustine, 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) 288-1999 | Coast Dental P.a. 1081 A1a Beach Blvd St Augustine FL 32080-6733 Ph: (904) 471-3291 |
NPI Number | 1821664178 |
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Provider Enumeration Date | 05/27/2021 |
Last Update Date | 05/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821664178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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