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COAST FLORIDA P.A.
NPI 1396312096
Dentist - General Practice in Melbourne, FL

Active since June 10, 2021
7777 N WICKHAM RD STE 4, MELBOURNE, FL 32940(321) 255-6303(321) 255-6710 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coast Florida P.a. NPPES

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

COAST FLORIDA P.A. (NPI 1396312096), doing business as Coast Dental-melbourne, is a healthcare organization registered as a general practice in Melbourne, Florida and active in the NPI registry since June 2021. The organization lists Melody Rivera, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1396312096
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOAST FLORIDA P.A.
Location Address7777 N WICKHAM RD STE 4Melbourne, FL 32940-7978
Mailing Address5706 Benjamin Center Dr Ste 103Tampa, FL 33634-5262 · (813) 350-7166 · Fax (813) 434-2325
Phone(321) 255-6303
Fax(321) 255-6710
Organization SubpartYes
Authorized OfficialMelody RiveraCredentialing Manager · (813) 350-7166
Enumeration DateJune 10, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1396312096 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.
7777 N WICKHAM RD STE 4, Melbourne, FL 32940
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Other Names 1

Doing Business AsCoast Dental-melbourne

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

Other Providers at the Same Location NPPES 3

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

MONICA LYNN CHAMPAGNE RDH
Dental Hygienist
7777 N WICKHAM RD STE 4
MELBOURNE, FL 32940
Brevard County (321) 255-6303
COAST FLORIDA PA
Dentist
7777 N WICKHAM RD STE 4
MELBOURNE, FL 32940
Brevard County (321) 255-6303
JOAO VICTOR DE OLIVEIRA MATIAS DDS
Dentist (General Practice)
7777 N WICKHAM RD STE 4
MELBOURNE, FL 32940
Brevard County (321) 255-6303

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 Florida P.A.'s NPI number?

The NPI number for Coast Florida P.A. is 1396312096. It was assigned to this organization in the NPPES registry on June 10, 2021. The provider is doing business as Coast Dental-Melbourne.

Where is Coast Florida P.A. located?

Coast Florida P.A. is located at 7777 N Wickham Rd Ste 4, Melbourne, FL 32940. The listed phone number is (321) 255-6303.

What is Coast Florida P.A.'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 Coast Florida P.A. was last updated on June 10, 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.