Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coast Dental of South Georgia PC

Organization Dentist · NPI 1558816991

Coast Dental of South Georgia PC is a Dentist in Tampa, Florida. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4010 W Boy Scout Blvd Ste 1100- Credentialing
Tampa, FL 33607-5727
Phone: (813) 288-1999
Fax: (813) 434-2325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1558816991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darlene Finnell — Director Of Ins. And Credentialing · (813) 288-1999
Other names Coast Dental- Fort Stewart
NPI enumeratedAugust 15, 2016
Last updated in NPPESAugust 22, 2016
Mailing address4010 W Boy Scout Blvd, Suite 1100- Credentialing, Tampa, FL 33607-5727

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