| Coastal Dental Llc | |
|
208 W 19th Ave Gulf Shores AL 36542-3041 | |
| (251) 968-8789 | |
| (251) 968-6520 |
| Full Name | Coastal Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 208 W 19th Ave, Gulf Shores, Alabama |
| Authorized Official Name and Position | Austin Matthew Jordan (DENTIST/OWNER) |
| Authorized Official Contact | 2513624490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Dental Llc 208 W 19th Ave Gulf Shores AL 36542-3041 Ph: (251) 968-8789 | Coastal Dental Llc 208 W 19th Ave Gulf Shores AL 36542-3041 Ph: (251) 968-8789 |
| NPI Number | 1518766401 |
|---|---|
| Provider Enumeration Date | 03/12/2025 |
| Last Update Date | 03/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518766401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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