OrganizationActive
Coast Dental P.A.
NPI 1124694559 · Dentist · Fleming Island, FL
Coast Dental P.A. is a Dentist organization in Fleming Island, FL (NPI 1124694559).
Provider details
- NPI number
- 1124694559
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Coast Dental P.A.
- Organization subpart
- Yes
- Authorized official
- Melody Rivera, Credentialing Manager(813) 350-7166
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
5000 US Highway 17 Ste 4
Fleming Island, FL 32003-8237
Phone: (904) 215-7855
Fax: (904) 215-7856
Approximate (ZIP-level) locationGet directions
Mailing address
5706 Benjamin Center Dr Ste 103
Tampa, FL 33634-5262
Other names (DBA / former)
- Doing business as
- Coast Dental-Fleming Island
Registry dates
- Enumerated
- 2021-05-27
- Last updated
- 2021-05-27
- Certified
- 2021-05-27
Frequently asked questions
- What is Coast Dental P.A.'s NPI number?
- Coast Dental P.A.'s National Provider Identifier (NPI) is 1124694559, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coast Dental P.A.?
- Coast Dental P.A. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Coast Dental P.A. located?
- Coast Dental P.A.'s practice location on file with NPPES is 5000 US Highway 17 Ste 4, Fleming Island, FL 32003-8237.
- What is Coast Dental P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Coast Dental P.A. is (904) 215-7855.
- Who is the authorized official for Coast Dental P.A.?
- The authorized official listed on Coast Dental P.A.'s NPPES record is Melody Rivera, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coast Dental P.A.'s NPI active?
- Yes — Coast Dental P.A.'s NPI (1124694559) is active in the NPPES registry as of the last update on 2021-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.