Organization Active NPI

Dentures & Implants - Ocean Springs, LLC

  • General Practice Dentistry
  • Ocean Springs, MS
National Provider Identifier
1780423905
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTURES & IMPLANTS - OCEAN SPRINGS, LLC
Doing business as
Coastal Dentures & Implants
Practice address
6213 Washington Ave
Ocean Springs, MS 39564-2664
Phone
(866) 539-3519
NPI assigned
May 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Annette Rodriguez-Lebron
Title
Cfo
Phone
(252) 208-4430

Specialties & licenses 1

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

Addresses

Primary practice location

6213 Washington Ave
Ocean Springs, MS 39564-2664

Mailing address

4010 Commerce Dr
Kinston, NC 28504-7906
Phone (252) 208-4430

Other names 1

  • Coastal Dentures & Implants Doing business as

National Provider Directory

National Provider Directory

Locations

4010 Commerce Dr
Kinston, NC 28504

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1780423905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 COMMERCE DR",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285047906",
            "telephone_number": "252-208-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6213 WASHINGTON AVE",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642664",
            "telephone_number": "866-539-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTURES & IMPLANTS - OCEAN SPRINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ-LEBRON",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-208-4430"
    },
    "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": "Coastal Dentures & Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.