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Coastal Family Health Center

Clinic/Center, Dental in Gulfport, MS. Organization (NPI-2).

NPI number1124288501
StatusActive
Last updated in NPPESJun 10, 2008

Details

NPI
1124288501
Entity type
Organization (NPI-2)
Legal business name
Coastal Family Health Center
Organization subpart
No
Enumeration date
Jun 10, 2008
Last updated
Jun 10, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental–MSYes

Practice location

15024 Martin Luther King Jr Blvd
Gulfport, MS 39501-8306

Phone 228-863-9781

Mailing address

1046 Division St
Biloxi, MS 39530-2935

Phone 228-374-2494

Authorized official

Joe Dawsey
Ceo
2283742494

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dental Clinic/Center providers in Gulfport, MS

All 5 Dental Clinic/Center providers in Gulfport · All 2,821 providers in Gulfport

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