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

Coast Dental PA

Organization Dentist · NPI 1144896440

Coast Dental PA is a Dentist in Orange Park, 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 →

Practice location Address checks out

410 Blanding Blvd Ste 6B
Orange Park, FL 32073-5065
Phone: (904) 276-5950
Fax: (904) 276-5359
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 number1144896440
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCoast Dental PA
Authorized official Melody Rivera — Credentialing Manager · (813) 350-7166
Other names Coast Dental-Orange Park
NPI enumeratedMay 28, 2021
Last updated in NPPESMay 28, 2021
Certification dateMay 28, 2021
Mailing address5706 Benjamin Center Dr Ste 103, Tampa, FL 33634-5262

Other providers in Orange Park