DR. GRACE ELIZABETH BECK COBURN DMD
NPI 1104455401
Dentist - Endodontics in Metairie, LA

Active since April 07, 2020
3100 GALLERIA DR STE 206, METAIRIE, LA 70001(504) 885-0177 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2023, Nov 5, 2020, Jun 19, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Grace Elizabeth Beck Coburn Dmd NPPES

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

DR. GRACE ELIZABETH BECK COBURN DMD (NPI 1104455401) is an individual endodontics provider in Metairie, Louisiana, licensed in Louisiana (7049) and active in the NPI registry since April 2020. She maintains a secondary practice location in Bay St Louis.

NPPES Registry Identity

NPI1104455401
Entity TypeIndividualFemale
Primary Taxonomy1223E0200X
Provider Legal NameDR. GRACE ELIZABETH BECK COBURNCredential: DMD
Location Address3100 GALLERIA DR STE 206Metairie, LA 70001
Mailing Address3100 Galleria Dr Ste 206Metairie, LA 70001-2196 · (831) 566-5107
Sole ProprietorNo
Enumeration DateApril 7, 2020
Last NPPES UpdateJanuary 10, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
NPI 1104455401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in LA · 7049
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
3100 GALLERIA DR STE 206, Metairie, LA 70001

Secondary Practice Location 1

Location 11011 Highway 90Bay St Louis, MS 39520-1524 · Phone (228) 688-0622 · Fax (504) 888-3581

Other Providers at the Same Location NPPES 2

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

Dentist (Endodontics)
3100 GALLERIA DR STE 206
METAIRIE, LA 70001
Dentist (Endodontics)
3100 GALLERIA DR STE 206
METAIRIE, LA 70001

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 Grace Coburn's NPI number?

The NPI number for Grace Coburn is 1104455401. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Grace Coburn located?

Grace Coburn practices at 3100 Galleria Dr Ste 206, Metairie, LA 70001. The listed phone number is (504) 885-0177.

What is Grace Coburn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Grace Coburn was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.