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

Coast Dental PA

Organization Dentist · NPI 1104492446

Coast Dental PA is a Dentist in Titusville, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4400 S Washington Ave
Titusville, FL 32780-6645
Phone: (321) 268-3300
Fax: (321) 268-3552
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1104492446
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCoast Dental PA
Authorized official Melody Rivera — Credentialing Manager · (813) 350-7166
Other names Coast Dental-South Titusville
NPI enumeratedMay 27, 2021
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021
Mailing address5706 Benjamin Center Dr Ste 103, Tampa, FL 33634-5262

Other providers in Titusville