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 and Maxillofacial Surgery (Dentist) · NPI 1841877263

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

In the registry since
2021
Specialties on file
5
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) 662-9300
Fax: (910) 662-9301
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1841877263
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shala Davis — Rcs Manager · (704) 303-7517
Other names Nhmgcr Physician Specialists; Nhmgcr Physician Specialists
NPI enumeratedMarch 24, 2021
Last updated in NPPESOctober 26, 2021
Certification dateOctober 26, 2021
Mailing addressPo Box 936857, Atlanta, GA 31193-6857

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