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

Coastal Dermatology PC

Organization Dermatology Physician · NPI 1730405879

Coastal Dermatology PC is a Dermatology Physician in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2010.

Licensed in
VA
In the registry since
2010
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

3176 Holland Rd 103
Virginia Beach, VA 23453
Phone: (757) 368-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 0101241129 (VA)

Record details

NPI number1730405879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Ingram Soderberg — President · (757) 368-7546
NPI enumeratedApril 14, 2010
Last updated in NPPESApril 14, 2010
Mailing address3176 Holland Rd., 103, Virginia Beach, VA 23453

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