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

Coast Dental PA

Organization Dentist · NPI 1821664178

Coast Dental PA is a Dentist in St Augustine, 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

1081 A1A Beach Blvd
St Augustine, FL 32080-6733
Phone: (904) 471-3291
Fax: (904) 471-3783
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 number1821664178
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCoast Dental PA
Authorized official Melody Rivera — Credentialing Manager · (813) 350-7166
Other names Coast Dental-Anastasia Island
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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