Coastal Smiles, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COASTAL SMILES, PLLC

Practice address

6095 Indian River Rd Ste 101
Virginia Beach, VA 23464-3818

Phone

(757) 424-1976

NPI assigned

Oct 24, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Brendon Prestwich, DDSNPI 1700134459

Title

Partner

Phone

(505) 358-8681

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Brendon Prestwich, DDS

  • General Practice Dentistry
  • Charleston, SC
  • NPI 1700134459
  NPD Authorized official

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1720956469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6095 INDIAN RIVER RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643818",
            "telephone_number": "757-424-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 INDIAN RIVER RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643818",
            "telephone_number": "757-424-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "PRESTWICH",
        "authorized_official_first_name": "BRENDON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "505-358-8681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Obstetrics & Gynecology (Coastal Gynecology)
• Coastal Plastic Surgery LTD
• Coastal Podiatry, Inc
• Coastal Prosthetics and Orthotics, LLC
• Coastal Prosthetics and Orthotics, LLC
• Coastal Surgical Specialists, PC
• Coastal Therapy Group Inc
• Coastal Tranquility Behavioral Health LLC
• Coastal Urology, P.C.
• Coastal Virginia Endodontics PLLC

• General Practice Dentistry in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.