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COAST DENTAL P.A.
NPI 1760058093
Dentist in Lake City, FL

Active since May 27, 2021
1166 SW MAIN BLVD, LAKE CITY, FL 32025(386) 752-7373(386) 487-1265 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 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 1760058093), doing business as Coast Dental-lake City, is a healthcare organization registered as a dentist in Lake City, Florida and active in the NPI registry since May 2021. The organization lists Melody Rivera, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1760058093
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCOAST DENTAL P.A.
Location Address1166 SW MAIN BLVDLake City, FL 32025-5780
Mailing Address5706 Benjamin Center Dr Ste 103Tampa, FL 33634-5262 · (813) 288-1999
Phone(386) 752-7373
Fax(386) 487-1265
Organization SubpartYes
Authorized OfficialMelody RiveraCredentialing Manager · (813) 350-7166
Enumeration DateMay 27, 2021
NPPES CertifiedMay 27, 2021
✔ NPI 1760058093 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.
1166 SW MAIN BLVD, Lake City, FL 32025
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Other Names 1

Doing Business AsCoast Dental-lake City

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.

DR. MORGAN RENALD COBRAN D.D.S.
Dentist (General Practice)
1166 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (863) 752-7373
STEPHANIE A AVERY RDH
Dental Hygienist
1166 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (386) 752-7373
DR. MICHAEL L JARRELL DMD
Dentist (General Practice)
1166 SW MAIN BLVD
LAKE CITY, FL 32025
Columbia County (386) 752-7373

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 1760058093. It was assigned to this organization in the NPPES registry on May 27, 2021. The provider is doing business as Coast Dental-Lake City.

Where is Coast Dental P.A. located?

Coast Dental P.A. is located at 1166 SW Main Blvd, Lake City, FL 32025. The listed phone number is (386) 752-7373.

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 27, 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.