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COAST DENTAL P.A.
NPI 1225604523
Dentist in Fort Myers, FL

Active since May 28, 2021
11600 GLADIOLUS DR STE A102, FORT MYERS, FL 33908(239) 466-9454(239) 466-9422 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Coast Dental P.a. NPPES

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

COAST DENTAL P.A. (NPI 1225604523), doing business as Coast Dental-gladiolus, is a healthcare organization registered as a dentist in Fort Myers, Florida and active in the NPI registry since May 2021. The organization lists Melody Rivera, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1225604523
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCOAST DENTAL P.A.
Location Address11600 GLADIOLUS DR STE A102Fort Myers, FL 33908-4567
Mailing Address5706 Benjamin Center Dr Ste 103Tampa, FL 33634-5262 · (813) 288-1999
Phone(239) 466-9454
Fax(239) 466-9422
Organization SubpartYes
Authorized OfficialMelody RiveraCredentialing Manager · (813) 350-7166
Enumeration DateMay 28, 2021
NPPES CertifiedMay 28, 2021
✔ NPI 1225604523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
11600 GLADIOLUS DR STE A102, Fort Myers, FL 33908
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Other Names 1

Doing Business AsCoast Dental-gladiolus

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Coast Dental P.A.'s NPI number?

The NPI number for Coast Dental P.A. is 1225604523. It was assigned to this organization in the NPPES registry on May 28, 2021. The provider is doing business as Coast Dental-Gladiolus.

Where is Coast Dental P.A. located?

Coast Dental P.A. is located at 11600 Gladiolus Dr Ste A102, Fort Myers, FL 33908. The listed phone number is (239) 466-9454.

What is Coast Dental P.A.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Coast Dental P.A. was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.