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INTERCOASTAL DENTAL PLLC
NPI 1205563004
Dentist - General Practice in Palm Beach Gardens, FL

Active since August 02, 2022
11940 US 1 STE 245, PALM BEACH GARDENS, FL 33408(626) 264-0182 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Intercoastal Dental Pllc NPPES

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

INTERCOASTAL DENTAL PLLC (NPI 1205563004) is a healthcare organization registered as a general practice in Palm Beach Gardens, Florida and active in the NPI registry since August 2022. The organization lists Alexandre Eian Gaeta, President, as its authorized official.

NPPES Registry Identity

NPI1205563004
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameINTERCOASTAL DENTAL PLLC
Location Address11940 US 1 STE 245Palm Beach Gardens, FL 33408-2832
Mailing Address104 Santa Barbara WayPalm Beach Gardens, FL 33410-4319
Phone(626) 264-0182
Organization SubpartNo
Authorized OfficialAlexandre Eian GaetaPresident · (626) 264-0182
Enumeration DateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
✔ NPI 1205563004 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.
11940 US 1 STE 245, Palm Beach Gardens, FL 33408
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Other Names 1

Former Legal Business NameIntercoastal Dental Pllc

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

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 Intercoastal Dental PLLC's NPI number?

The NPI number for Intercoastal Dental PLLC is 1205563004. It was assigned to this organization in the NPPES registry on August 2, 2022.

Where is Intercoastal Dental PLLC located?

Intercoastal Dental PLLC is located at 11940 Us 1 Ste 245, Palm Beach Gardens, FL 33408. The listed phone number is (626) 264-0182.

What is Intercoastal Dental PLLC's specialty?

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

What insurance does Intercoastal Dental PLLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Intercoastal Dental PLLC 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 Intercoastal Dental PLLC was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.