Coastal Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

COASTAL ORAL SURGERY

Practice address

5408 Discovery Park Blvd Ste 101
Williamsburg, VA 23188-2893

Phone

(757) 208-0138

Fax

(757) 206-1981

NPI assigned

Mar 25, 2026

Last updated

Mar 25, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

COASTAL ORAL SURGERYAs reported in NPPES

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

Authorized official

Name

Dr. Kevin Daniel Kiely, DMDNPI 1699769018

Title

President/Ceo

Phone

(757) 784-2830

Specialties & licenses 1

Addresses

Part of

Coastal Oral Surgery

Locations

Practitioners 2

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.

• Kevin Daniel Kiely, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Williamsburg, VA
  • NPI 1699769018
  NPD Authorized official
• Christopher Gurries, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • San Francisco, CA
  • NPI 1750700837
  NPD (past)

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1497694749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 DISCOVERY PARK BLVD STE 101",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882893",
            "telephone_number": "757-784-2830",
            "fax_number": "757-206-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 DISCOVERY PARK BLVD STE 101",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882893",
            "telephone_number": "757-208-0138",
            "fax_number": "757-206-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ORAL SURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL ORAL SURGERY",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "KIELY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "757-784-2830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Clayton, LPC
• Carrie A Clemens, PA
• CMCP-Williamsburg, LLC (Brookdale Chambrel Williamsburg)
• Coastal Counseling Center of Tidewater (Stacia Chapman-Gorey)
• Coastal Oral Maxillofacial Surgery & Implants, Inc.
• Coastal Virginia Sleep Solutions PLLC
• Thomas D Coe
• Christine Coenen, MS
• Martha Coffield
• David I Cohen, MD

• Oral and Maxillofacial Surgery (Dentist) in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.