OrganizationActive
Coastal Pediatric Dentistry, LLC
NPI 1184167553 · Dental Clinic/Center · Gulfport, MS
Coastal Pediatric Dentistry, LLC is a Dental Clinic/Center organization in Gulfport, MS (NPI 1184167553).
Provider details
- NPI number
- 1184167553
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Edward Brown, Owner(504) 237-1203
- License
- 3502-09 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1119 42nd Ave
Gulfport, MS 39501-2664
Phone: (228) 864-8521
Street-level locationGet directions
Mailing address
1119 42nd Ave
Gulfport, MS 39501-2664
Registry dates
- Enumerated
- 2016-12-02
- Last updated
- 2016-12-02
Frequently asked questions
- What is Coastal Pediatric Dentistry, LLC's NPI number?
- Coastal Pediatric Dentistry, LLC's National Provider Identifier (NPI) is 1184167553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Pediatric Dentistry, LLC?
- Coastal Pediatric Dentistry, LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Coastal Pediatric Dentistry, LLC located?
- Coastal Pediatric Dentistry, LLC's practice location on file with NPPES is 1119 42nd Ave, Gulfport, MS 39501-2664.
- What is Coastal Pediatric Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Coastal Pediatric Dentistry, LLC is (228) 864-8521.
- Who is the authorized official for Coastal Pediatric Dentistry, LLC?
- The authorized official listed on Coastal Pediatric Dentistry, LLC's NPPES record is Edward Brown, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Pediatric Dentistry, LLC's NPI active?
- Yes — Coastal Pediatric Dentistry, LLC's NPI (1184167553) is active in the NPPES registry as of the last update on 2016-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.