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COASTAL PEDIATRIC DENTISTRY LLC
NPI 1093693590
Dentist - Pediatric Dentistry in Richmond Hill, GA

Active since August 22, 2025
1101 GANDY DANCER, RICHMOND HILL, GA 31324(912) 756-5437 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Pediatric Dentistry Llc NPPES

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

COASTAL PEDIATRIC DENTISTRY LLC (NPI 1093693590) is a healthcare organization registered as a pediatric dentistry in Richmond Hill, Georgia and active in the NPI registry since August 2025. The organization lists Terri H Hubbard, Owner, as its authorized official.

NPPES Registry Identity

NPI1093693590
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCOASTAL PEDIATRIC DENTISTRY LLC
Location Address1101 GANDY DANCERRichmond Hill, GA 31324-8897
Mailing Address1101 Gandy DancerRichmond Hill, GA 31324-8897 · (912) 756-5437
Phone(912) 756-5437
Organization SubpartNo
Authorized OfficialTerri H HubbardOwner · (912) 756-5437
Enumeration DateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1093693590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1101 GANDY DANCER, Richmond Hill, GA 31324
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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.

KIDS DENTISTREE - RICHMOND HILLS, LLC
Clinic/Center (Dental)
1101 GANDY DANCER
RICHMOND HILL, GA 31324
Bryan County (912) 756-5437

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 Pediatric Dentistry LLC's NPI number?

The NPI number for Coastal Pediatric Dentistry LLC is 1093693590. It was assigned to this organization in the NPPES registry on August 22, 2025.

Where is Coastal Pediatric Dentistry LLC located?

Coastal Pediatric Dentistry LLC is located at 1101 Gandy Dancer, Richmond Hill, GA 31324. The listed phone number is (912) 756-5437.

What is Coastal Pediatric Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Coastal Pediatric Dentistry LLC was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.