Coast Harbour Dental and Health Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COAST HARBOUR DENTAL AND HEALTH ASSOCIATES

Practice address

2200 Kings Hwy
Port Charlotte, FL 33980-5759

Phone

(941) 866-8011

Fax

(941) 866-8013

NPI assigned

Jun 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elizabeth Perks, DMD

Title

Dentist

Phone

(813) 422-2599

Specialties & licenses 3

Addresses

Other names 1

• COAST HARBOUR DENTAL AND HEALTH ASSOCIATES Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1043941644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 KINGS HWY",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339805759",
            "telephone_number": "941-866-8011",
            "fax_number": "941-866-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 KINGS HWY",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339805759",
            "telephone_number": "941-866-8011",
            "fax_number": "941-866-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST HARBOUR DENTAL AND HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "PERKS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "813-422-2599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COAST HARBOUR DENTAL AND HEALTH ASSOCIATES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• James Duncan Clark III, MD
• Anne Yvonne Clarke
• Clean Medics, LLC
• Glinese Clerjuste, NP
• CLR Behavior LLC
• Coastal Cardiololgy & Vascular Center
• Coastal Gastroenterology and General Surgery LLC
• Coastal Imaging Inc
• Coastal Play & Progress PLLC
• Jonothan Tyler Cobb

• General Practice Dentistry in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.