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COASTAL DENTAL CARE
NPI 1063616134
Dentist - General Practice in Saint Marys, GA

Active since June 13, 2007
368 CHARLIE SMITH SR HWY, SAINT MARYS, GA 31558(912) 882-9602(912) 882-7564 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coastal Dental Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL DENTAL CARE (NPI 1063616134) is a healthcare organization registered as a general practice in Saint Marys, Georgia and active in the NPI registry since June 2007. The organization lists Jeffrey N Pennington, Doctor, as its authorized official.

NPPES Registry Identity

NPI1063616134
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOASTAL DENTAL CARE
Location Address368 CHARLIE SMITH SR HWYSaint Marys, GA 31558-3101
Mailing Address368 Charlie Smith Sr HwySaint Marys, GA 31558-3101 · (912) 882-9602 · Fax (912) 882-7564
Phone(912) 882-9602
Fax(912) 882-7564
Organization SubpartNo
Authorized OfficialJeffrey N PenningtonDoctor · (912) 882-9602
Enumeration DateJune 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063616134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
368 CHARLIE SMITH SR HWY, Saint Marys, GA 31558
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Other Identifiers 1

Other1646968PA · United Concordia

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDWARD SIDNEY PARKER JR. DMD
Dentist (General Practice)
368 CHARLIE SMITH SR HWY
SAINT MARYS, GA 31558
Camden County (912) 882-9602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Dental Care's NPI number?

The NPI number for Coastal Dental Care is 1063616134. It was assigned to this organization in the NPPES registry on June 13, 2007.

Where is Coastal Dental Care located?

Coastal Dental Care is located at 368 Charlie Smith Sr Hwy, Saint Marys, GA 31558. The listed phone number is (912) 882-9602.

What is Coastal Dental Care's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Coastal Dental Care was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.