Coastal Dental LLC
NPI #1518766401 in Gulf Shores, Alabama
Provider Information
- NPI Number
- 1518766401
- Entity Type
- Organization
- Organization Name
- Coastal Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 12, 2025
- Last Updated
- Mar 12, 2025
Practice Location
- Address
- 208 W 19TH AVE
- City
- Gulf Shores
- State
- Alabama
- ZIP Code
- 36542-3041
- Phone
- (251) 968-8789
Authorized Official
- Name
- DR. AUSTIN MATTHEW JORDAN, DMD
- Title
- DENTIST/OWNER
- Phone
- (251) 362-4490
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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