Coastal Periodontics, P.C.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

8113 Issued in GA

Legal business name

COASTAL PERIODONTICS, P.C.

Practice address

2925 Player St
Brunswick, GA 31520-4950

Phone

(912) 264-9250

Fax

(912) 265-7191

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lee A Bell, D.M.D.

Title

President Periodontist

Phone

(912) 364-9250

Specialties & licenses 1

Addresses

Practitioners 1

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

• Samuel Thomas Norris Jr., DMD

  • Periodontics
  • Brunswick, GA
  • NPI 1235283599
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932125366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 PLAYER ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204950",
            "telephone_number": "912-264-9250",
            "fax_number": "912-265-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 PLAYER ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204950",
            "telephone_number": "912-264-9250",
            "fax_number": "912-265-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PERIODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT PERIODONTIST",
        "authorized_official_telephone_number": "912-364-9250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "8113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Hypnosis Center
• Coastal Neurology and Neurosurgery
• Coastal Nursecare Inc.
• Coastal Orthopedic Products, Inc.
• Coastal Pain Center, LLC
• Coastal Pharmacare Inc
• Coastal Physical Therapy Inc
• Coastal Radiation Oncology Assoc.
• Coastal Ripple Effect LLC
• Angela Cobb

• Periodontics in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.