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Contact Information

COASTAL DENTURES & IMPLANTS
6213 WASHINGTON AVE
OCEAN SPRINGS, MS39564-2664
 Phone: 228-215-0801
 Fax: 228-367-0007
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for COASTAL DENTURES & IMPLANTS

NPI # 1740995430
LBN Legal business name COASTAL DENTURES & IMPLANTS
Authorized official JEFF ZIMMERMAN - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2023
Last updated 06/26/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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