OrganizationActive
Coastal Dental Care
NPI 1063616134 · General Practice Dentistry · Saint Marys, GA
Coastal Dental Care is a General Practice Dentistry organization in Saint Marys, GA (NPI 1063616134).
Provider details
- NPI number
- 1063616134
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Pennington, Doctor(912) 882-9602
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
368 Charlie Smith Sr Hwy
Saint Marys, GA 31558-3101
Phone: (912) 882-9602
Fax: (912) 882-7564
Street-level locationGet directions
Mailing address
368 Charlie Smith Sr Hwy
Saint Marys, GA 31558-3101
Registry dates
- Enumerated
- 2007-06-13
- Last updated
- 2020-08-22
Frequently asked questions
- What is Coastal Dental Care's NPI number?
- Coastal Dental Care's National Provider Identifier (NPI) is 1063616134, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Dental Care?
- Coastal Dental Care is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Coastal Dental Care located?
- Coastal Dental Care's practice location on file with NPPES is 368 Charlie Smith Sr Hwy, Saint Marys, GA 31558-3101.
- What is Coastal Dental Care's phone number?
- The practice phone number listed in the NPPES registry for Coastal Dental Care is (912) 882-9602.
- Who is the authorized official for Coastal Dental Care?
- The authorized official listed on Coastal Dental Care's NPPES record is Jeffrey Pennington, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Dental Care's NPI active?
- Yes — Coastal Dental Care's NPI (1063616134) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.