Coastkids Pediatric Dentistry, Pllc

LBN: Coastkids Pediatric Dentistry, Pllc
Coastkids Pediatric Dentistry, Pllc is an health care organization with primary practice located at 1635 E Pass Rd , Gulfport MS 39507-3527. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Coastkids Pediatric Dentistry, Pllc can be contacted via phone (228) 896-5197, or through Henry, Lanette L via phone (228) 896-5197.

Contact Information

Primary practice address
1635 E Pass Rd Gulfport MS 39507-3527
Phone: (228) 896-5197
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Henry, Lanette L Registered Dental Hygienist (RDH)
Phone: (228) 896-5197

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2005-83 Mississippi

Profile Details

NPI number 1093262974
LBN Legal business name Coastkids Pediatric Dentistry, Pllc
DBA Doing business as
Authorized official Henry, Lanette L Registered Dental Hygienist (RDH)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2016
Last updated Sep 8th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093262974 NPPES
Mississippi MEDICAID 05579706
Mississippi MEDICAID 07734393

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