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Coast Dental P.A.

NPI 1225604523ActiveOrganization· Dentist· Fort Myers, FL

Dentist in Fort Myers, Florida, registered in NPPES in May 2021, part of Coast Dental P.A. The authorized official on file is Melody Rivera, Credentialing Manager.

Overview

NPI1225604523
StatusActive
Entity typeOrganization (subpart)
Parent organizationCoast Dental P.A.
NPI issuedMay 28, 2021
Last updated in NPPESMay 28, 2021
Certified by providerMay 28, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dentist providers in Fort Myers

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