Coastal Periodontics Practice
NPI 1205449584ActiveOrganization· Dentist, Periodontics· Fort Walton Beach, FL
Dentist, Periodontics in Fort Walton Beach, Florida, registered in NPPES in August 2020. The authorized official on file is Faith Gaskins, Director Of Credentialing.
Overview
| NPI | 1205449584 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 26, 2020 |
| Last updated in NPPES | Aug 26, 2020 |
| Certified by provider | Aug 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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