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COASTAL PEDIATRIC DENTISTRY, LLC
NPI 1184167553
Clinic/Center - Dental in Gulfport, MS

Active since December 02, 2016
1119 42ND AVE, GULFPORT, MS 39501(228) 864-8521 Get Directions Write a Review

NPPES record last updated: December 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 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 1184167553) is a healthcare organization registered as a dental in Gulfport, Mississippi and active in the NPI registry since December 2016. The organization lists Edward Victor Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1184167553
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCOASTAL PEDIATRIC DENTISTRY, LLC
Location Address1119 42ND AVEGulfport, MS 39501-2664
Mailing Address1119 42nd AveGulfport, MS 39501-2664 · (228) 864-8521
Phone(228) 864-8521
Organization SubpartNo
Authorized OfficialEdward Victor BrownOwner · (504) 237-1203
Enumeration DateDecember 2, 2016
✔ NPI 1184167553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in MS · 3502-09
1119 42ND AVE, Gulfport, MS 39501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 4

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

EDWARD BROWN SPECIALTY PARTNERS OF MISSISSIPPI PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
1119 42ND AVE
GULFPORT, MS 39501
Harrison County (877) 230-7841
R KIMBLE DOTY, JR DDS,MS PEDIATRIC DENTISTRY, PC
Clinic/Center (Dental)
1119 42ND AVE
GULFPORT, MS 39501
Harrison County (228) 864-8521
RAYMOND KIMBLE DOTY JR. D.D.S., M.S.
Dentist (Pediatric Dentistry)
1119 42ND AVE
GULFPORT, MS 39501
Harrison County (228) 864-8521
EDWARD BROWN SPECIALTY PARTNERS OF MISSISSIPPI PLLC
Dentist (Pediatric Dentistry)
1119 42ND AVE
GULFPORT, MS 39501
Harrison County (877) 544-3492

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 1184167553. It was assigned to this organization in the NPPES registry on December 2, 2016.

Where is Coastal Pediatric Dentistry, LLC located?

Coastal Pediatric Dentistry, LLC is located at 1119 42nd Ave, Gulfport, MS 39501. The listed phone number is (228) 864-8521.

What is Coastal Pediatric Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Coastal Pediatric Dentistry, LLC accept?

Health plans from UnitedHealthcare list Coastal Pediatric Dentistry, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Pediatric Dentistry, LLC was last updated on December 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.