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

Novant Health Medical Group Coastal Region, LLC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1811576515

Novant Health Medical Group Coastal Region, LLC is an Oral & Maxillofacial Surgery (D.M.D.) in Wilmington, North Carolina. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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

2131 S 17th St
Wilmington, NC 28401-7407
Phone: (910) 667-4620
Fax: (910) 667-4639
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X

Record details

NPI number1811576515
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shala Davis — Rcs Manager · (704) 303-7517
Other names Nhmgcr Unc Children'S
NPI enumeratedApril 8, 2021
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021
Mailing addressPo Box 936857, Atlanta, GA 31193-6857

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