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

Coastal Pediatric Dentistry, LLC

Organization Dental Clinic/Center · NPI 1184167553

Coastal Pediatric Dentistry, LLC is a Dental Clinic/Center in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1119 42nd Ave
Gulfport, MS 39501-2664
Phone: (228) 864-8521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 3502-09 (MS)

Record details

NPI number1184167553
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Brown — Owner · (504) 237-1203
NPI enumeratedDecember 2, 2016
Last updated in NPPESDecember 2, 2016
Mailing address1119 42nd Ave, Gulfport, MS 39501-2664

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