Coastal Dental Aesthetics Enterprise, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COASTAL DENTAL AESTHETICS ENTERPRISE, PLLC

Practice address

4001 16TH St N
St Petersburg, FL 33703-5605

Phone

(919) 943-0279

NPI assigned

Jul 9, 2026

Last updated

Jul 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Emily Nabut, DMDNPI 1578253639

Title

Owner/Doctor

Phone

(919) 943-0279

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.

• Emily Maria Nabut, MBA, DMD

  • General Practice Dentistry
  • Largo, FL
  • NPI 1578253639
  Authorized official Same address or phone

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1841118429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MADISON ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111251",
            "telephone_number": "919-943-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337035605",
            "telephone_number": "919-943-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL DENTAL AESTHETICS ENTERPRISE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "NABUT",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "919-943-0279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coast Florida P.a. (Coast Dental-Gandy)
• Coast Florida P.a. (Coast Dental-St. Petersburg)
• Coastal ABA, LLC
• Coastal Anesthesia Group LLC
• Coastal Chiropractic
• Coastal Foot & Ankle Specialists LLC
• Coastal Interventional Pain Management LLC
• Coastal Kinetics LLC
• Coastal Mental Health Center Inc
• Coastal Neurological Institue of Florida

• General Practice Dentistry in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.