NPI 1093262974

Coastkids Pediatric Dentistry, PLLC

Organisation Pediatric Dentistry Gulfport, MS

Practice location

Address: 1635 E Pass Rd, Gulfport, MS 39507-3527
Phone: (228) 896-5197

Authorised official

Name: Lanette L Henry
Title: Office Administrator
Phone: (228) 896-5197

Registered specialties

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 2005-83 (MS)

Other Dentist providers in Mississippi →

Registry record

NPI: 1093262974
Entity type: Organization
NPI issued: 8 Sep 2016
Record last updated: 8 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.