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 1508432840

Coast Dental PA is a Dentist in Jacksonville, 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.

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Practice location Address checks out

445 State Road 13 Ste 22
Jacksonville, FL 32259-2821
Phone: (904) 209-6590
Fax: (904) 209-6595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1508432840
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCoast Dental PA
Authorized official Melody Rivera — Credentialing Manager · (813) 350-7166
Other names Coast Dental-Jacksonville
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

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