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 1710131826

Coastal Jaw Surgery of New Port Richey, PA is an Oral and Maxillofacial Surgery (Dentist) in Clearwater, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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

2720 Park Dr
Clearwater, FL 33763-1020
Phone: (727) 726-8500
Fax: (727) 725-9716
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DN10802 (FL)

Record details

NPI number1710131826
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Mitchell — President · (727) 842-5180
NPI enumeratedNovember 17, 2008
Last updated in NPPESNovember 17, 2008
Mailing address6731 Madison St, New Port Richey, FL 34652-1928

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