NPIMap

Organization Active NPI

Gulf Coast Dental Care, PLLC

  • General Practice Dentistry
  • Gulfport, MS
National Provider Identifier
1417961376
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GULF COAST DENTAL CARE, PLLC
Doing business as
Gulf Coast Dental Care, PLLC
Practice address
15503 Oak LN # 300B
Gulfport, MS 39503-2697
Phone
(228) 832-3231
Fax
(228) 832-3508
NPI assigned
Jul 28, 2006
Last updated
Mar 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Ashley Armstrong
Title
Insurance Coordinator
Phone
(228) 832-3231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

15503 Oak LN # 300B
Gulfport, MS 39503-2697

Mailing address

15503 Oak LN # 300B
Gulfport, MS 39503-2697
Phone (228) 832-3231

Other names 2

  • GULF COAST DENTAL CARE, PLLC Doing business as
  • Gulf Coast Dental Care PA Former legal business name

National Provider Directory

National Provider Directory

Locations

15503 Oak Ln
#300B
Gulfport, MS 39503
Phone (228) 832-3231

Practitioners & affiliated clinicians

Practitioners 4

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1417961376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15503 OAK LN # 300B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032697",
            "telephone_number": "228-832-3231",
            "fax_number": "228-832-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15503 OAK LN # 300B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032697",
            "telephone_number": "228-832-3231",
            "fax_number": "228-832-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "228-832-3231"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GULF COAST DENTAL CARE, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gulf Coast Dental Care PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.