Coast Dental P.A.
NPI 1326614629ActiveOrganization· Dentist· Jacksonville, FL
Dentist in Jacksonville, Florida, registered in NPPES in May 2021, part of Coast Dental P.A. The authorized official on file is Melody Rivera, Credentialing Manager.
Overview
| NPI | 1326614629 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Coast Dental P.A. |
| NPI issued | May 28, 2021 |
| Last updated in NPPES | May 28, 2021 |
| Certified by provider | May 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
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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