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

Coastal Jaw Surgery of New Port Richey PA

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1487839205

Coastal Jaw Surgery of New Port Richey PA is an Oral and Maxillofacial Surgery (Dentist) in New Port Richey, Florida. Registered with an NPI since 2007.

In the registry since
2007
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

6731 Madison St
New Port Richey, FL 34652-1928
Phone: (727) 842-5180
Fax: (727) 846-0755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1487839205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Mitchell — President · (727) 842-5180
NPI enumeratedDecember 31, 2007
Last updated in NPPESSeptember 12, 2008
Mailing address6731 Madison St, New Port Richey, FL 34652-1928

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