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COASTAL DENTAL LLC
NPI 1518766401
Clinic/Center - Dental in Gulf Shores, AL

Active since March 12, 2025
208 W 19TH AVE, GULF SHORES, AL 36542(251) 968-8789(251) 968-6520 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Dental Llc NPPES

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

COASTAL DENTAL LLC (NPI 1518766401), doing business as Coastal Family Dentistry, is a healthcare organization registered as a dental in Gulf Shores, Alabama and active in the NPI registry since March 2025. The organization lists Austin Matthew Jordan, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1518766401
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCOASTAL DENTAL LLC
Location Address208 W 19TH AVEGulf Shores, AL 36542-3041
Mailing Address208 W 19th AveGulf Shores, AL 36542-3041 · (251) 968-8789 · Fax (251) 968-6520
Phone(251) 968-8789
Fax(251) 968-6520
Organization SubpartNo
Authorized OfficialAustin Matthew JordanDentist/owner · (251) 362-4490
Enumeration DateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
✔ NPI 1518766401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
208 W 19TH AVE, Gulf Shores, AL 36542
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Other Names 1

Doing Business AsCoastal Family Dentistry

Other Providers at the Same Location NPPES 2

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

JAMES V SHAMBURGER, DMD, PC
Dentist (General Practice)
208 W 19TH AVE
GULF SHORES, AL 36542
Baldwin County (251) 968-8789
DR. HAOTING ZHANG TIEDEMANN DMD
Dentist
208 W 19TH AVE
GULF SHORES, AL 36542
Baldwin County (251) 968-8789

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 Dental LLC's NPI number?

The NPI number for Coastal Dental LLC is 1518766401. It was assigned to this organization in the NPPES registry on March 12, 2025. The provider is doing business as Coastal Family Dentistry.

Where is Coastal Dental LLC located?

Coastal Dental LLC is located at 208 W 19th Ave, Gulf Shores, AL 36542. The listed phone number is (251) 968-8789.

What is Coastal Dental LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Coastal Dental LLC was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.