Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastkids Pediatric Dentistry, PLLC

Organization Pediatric Dentistry · NPI 1093262974

Coastkids Pediatric Dentistry, PLLC provides Pediatric Dentistry in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1635 E Pass Rd
Gulfport, MS 39507-3527 Not confirmed with CMS for 10 years — call before visiting
Phone: (228) 896-5197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2005-83 (MS)

Record details

NPI number1093262974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lanette Henry — Office Administrator · (228) 896-5197
NPI enumeratedSeptember 8, 2016
Last updated in NPPESSeptember 8, 2016
Mailing address1635 E Pass Rd, Gulfport, MS 39507-3527

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