COASTAL JAW SURGERY OF NEW PORT RICHEY PA
NPI 1487839205
Dentist - Oral and Maxillofacial Surgery in New Port Richey, FL

Q: What is Coastal Jaw Surgery Of New Port Richey PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since December 31, 2007

6731 MADISON ST, NEW PORT RICHEY, FL 34652(727) 842-5180(727) 846-0755 Get Directions Write a Review

NPPES record last updated: September 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Coastal Jaw Surgery Of New Port Richey Pa NPPES

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

COASTAL JAW SURGERY OF NEW PORT RICHEY PA (NPI 1487839205) is a healthcare organization registered as an oral and maxillofacial surgery in New Port Richey, Florida and active in the NPI registry since December 2007. The organization lists Mark W Mitchell, President, as its authorized official.

NPPES Registry Identity

NPI1487839205

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameCOASTAL JAW SURGERY OF NEW PORT RICHEY PA

Location Address6731 MADISON STNew Port Richey, FL 34652-1928

Mailing Address6731 Madison StNew Port Richey, FL 34652-1928 · (727) 842-5180 · Fax (727) 846-0755

Phone(727) 842-5180

Fax(727) 846-0755

Organization SubpartNo

Authorized OfficialMark W MitchellPresident · (727) 842-5180

Enumeration DateDecember 31, 2007

Last NPPES UpdateSeptember 12, 2008

✔ NPI 1487839205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

6731 MADISON ST, New Port Richey, FL 34652

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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 5

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

DR. SAMUEL LANDRIAN DMD, MD.

Dentist (Oral and Maxillofacial Surgery)