OrganizationActive
Coastal Periodontics Practice
NPI 1205449584 · Periodontics · Fort Walton Beach, FL
Coastal Periodontics Practice is a Periodontics organization in Fort Walton Beach, FL (NPI 1205449584).
Provider details
- NPI number
- 1205449584
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Faith Gaskins, Director of Credentialing(972) 869-3789
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 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
82 Beal Pkwy Sw
Fort Walton Beach, FL 32548-5331
Phone: (850) 862-6666
Street-level locationGet directions
Mailing address
82 Beal Pkwy Sw
Fort Walton Beach, FL 32548-5331
Other names (DBA / former)
- Doing business as
- Coastal Periodontics
Registry dates
- Enumerated
- 2020-08-26
- Last updated
- 2020-08-26
- Certified
- 2020-08-26
Frequently asked questions
- What is Coastal Periodontics Practice's NPI number?
- Coastal Periodontics Practice's National Provider Identifier (NPI) is 1205449584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coastal Periodontics Practice?
- Coastal Periodontics Practice is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Coastal Periodontics Practice located?
- Coastal Periodontics Practice's practice location on file with NPPES is 82 Beal Pkwy Sw, Fort Walton Beach, FL 32548-5331.
- What is Coastal Periodontics Practice's phone number?
- The practice phone number listed in the NPPES registry for Coastal Periodontics Practice is (850) 862-6666.
- Who is the authorized official for Coastal Periodontics Practice?
- The authorized official listed on Coastal Periodontics Practice's NPPES record is Faith Gaskins, Director of Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coastal Periodontics Practice's NPI active?
- Yes — Coastal Periodontics Practice's NPI (1205449584) is active in the NPPES registry as of the last update on 2020-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.