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COASTAL DENTAL GROUP
NPI 1144370768
Dentist - General Practice in Costa Mesa, CA

Active since January 12, 2007
2263 FAIRVIEW RD STE K, COSTA MESA, CA 92627(949) 515-9280(949) 515-9289 Get Directions Write a Review

NPPES record last updated: December 29, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coastal Dental Group NPPES

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

COASTAL DENTAL GROUP (NPI 1144370768) is a healthcare organization registered as a general practice in Costa Mesa, California and active in the NPI registry since January 2007. The organization lists Derek Dungquang Duong, President, as its authorized official.

NPPES Registry Identity

NPI1144370768
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDEREK DUNGQUANG DUONG PROFESSIONAL DENTAL CORP
Location Address2263 FAIRVIEW RD STE KCosta Mesa, CA 92627-1672
Mailing Address2263 Fairview Rd Ste KCosta Mesa, CA 92627-1672 · (949) 515-9280 · Fax (949) 515-9289
Phone(949) 515-9280
Fax(949) 515-9289
Organization SubpartNo
Authorized OfficialDerek Dungquang DuongPresident · (949) 515-9280
Enumeration DateJanuary 12, 2007
Last NPPES UpdateDecember 29, 2017
✔ NPI 1144370768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 48906
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.
2263 FAIRVIEW RD STE K, Costa Mesa, CA 92627
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Other Names 1

Doing Business AsCoastal Dental Group

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

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 Derek Dungquang Duong Professional Dental Corp's NPI number?

The NPI number for Derek Dungquang Duong Professional Dental Corp is 1144370768. It was assigned to this organization in the NPPES registry on January 12, 2007. The provider is doing business as Coastal Dental Group.

Where is Derek Dungquang Duong Professional Dental Corp located?

Derek Dungquang Duong Professional Dental Corp is located at 2263 Fairview Rd Ste K, Costa Mesa, CA 92627. The listed phone number is (949) 515-9280.

What is Derek Dungquang Duong Professional Dental Corp'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 Derek Dungquang Duong Professional Dental Corp was last updated on December 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.