OrganizationActive
Coastal Pediatric Dentistry, LLC
NPI 1184167553 · Dental Clinic/Center · Gulfport, MS
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
Practice location
1119 42nd Ave
Gulfport, MS 39501-2664
Phone: (228) 864-8521
Approximate (ZIP-level) locationGet directions
Mailing address
1119 42nd Ave
Gulfport, MS 39501-2664
Registry dates
- Enumerated
- 2016-12-02
- Last updated
- 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.