Organization Active NPI

Gulf Coast Dental Care of Biloxi PLLC

  • Dental Clinic/Center
  • Biloxi, MS
National Provider Identifier
1285317990
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GULF COAST DENTAL CARE OF BILOXI PLLC
Doing business as
Gulf Coast Dental Care of Biloxi PLLC
Practice address
232A Eisenhower Dr
Biloxi, MS 39531-3601
Phone
(228) 388-9551
Fax
(228) 388-9552
NPI assigned
Aug 9, 2023
Last updated
Jun 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Dr. Robert L Sutton III, DMDNPI 1205840824
Title
Co-Owner
Phone
(228) 832-3231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

232A Eisenhower Dr
Biloxi, MS 39531-3601

Mailing address

232A Eisenhower Dr
Biloxi, MS 39531-3601
Phone (228) 388-9551

Other names 1

  • Gulf Coast Dental Care of Biloxi PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

232A Eisenhower Dr
Biloxi, MS 39531
Phone (228) 388-9551

2628 Executive Pl
Biloxi, MS 39531

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1285317990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232A EISENHOWER DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395313601",
            "telephone_number": "228-388-9551",
            "fax_number": "228-832-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232A EISENHOWER DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395313601",
            "telephone_number": "228-388-9551",
            "fax_number": "228-388-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST DENTAL CARE OF BILOXI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "228-832-3231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Dental Care of Biloxi PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gulf Coast Dental Care of Biloxi PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.