Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Coast Dental of South Georgia PC

Organization Dentist · NPI 1558816991

Coast Dental of South Georgia PC provides Dentist services in Tampa, Florida. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4010 W Boy Scout Blvd Ste 1100- Credentialing
Tampa, FL 33607-5727 Not confirmed with CMS for 10 years — call before visiting
Phone: (813) 288-1999
Fax: (813) 434-2325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1558816991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darlene Finnell — Director Of Ins. And Credentialing · (813) 288-1999
Other names Coast Dental- Fort Stewart
NPI enumeratedAugust 15, 2016
Last updated in NPPESAugust 22, 2016
Mailing address4010 W Boy Scout Blvd, Suite 1100- Credentialing, Tampa, FL 33607-5727

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