Coastal Pediatric Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

COASTAL PEDIATRIC DENTISTRY LLC

Practice address

1101 Gandy Dancer
Richmond Hill, GA 31324-8897

Phone

(912) 756-5437

NPI assigned

Aug 22, 2025

Organization subpart

No

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

Authorized official

Name

Terri H Hubbard, DMD

Title

Owner

Phone

(912) 756-5437

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Erin Creech, D.M.D.

  • Dentist
  • Rincon, GA
  • NPI 1053628255
  NPD (past)
• Eumeka Lawann Hogans, DMD

  • General Practice Dentistry
  • Austell, GA
  • NPI 1801081211
  NPD (past)

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1093693590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 GANDY DANCER",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248897",
            "telephone_number": "912-756-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GANDY DANCER",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248897",
            "telephone_number": "912-756-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-756-5437",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Ann Clay
• Jennifer Jean Clements, M.D.
• Kinsley M Clements, RBT
• Coastal Chiropractic and Family Wellness
• Coastal Community Health Services, Inc.
• Coastal Primary Care, LLC
• Coastal Therapeutic Effect, LLC
• Donald Keith Cobb, MD
• Jaquan Cody
• Kari Amanda Collins

• Pediatric Dentistry in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.