P Praxis·MD
● Active Type 2 · Organization

Coastal Dental Care

Dentist·Saint Marys, GA· NPI 1063616134 · Enumerated 2007 · 18 years on NPI
Coastal Dental Care is 1 of 4309 dentist organizations in Georgia.
NPI age
18 years
Enumerated 2007-06-13
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pennington
Doctor
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 4309 active dentist providers in Georgia.

NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
368 Charlie Smith SR Hwy
Saint Marys, GA 315583101
📞 9128829602fax 9128827564
Mailing address
368 Charlie Smith SR Hwy
Saint Marys, GA 315583101
📞 9128829602fax 9128827564

Authorized official

Jeffrey N Pennington, D.M.D.
Doctor
📞 9128829602

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    taxonomy 1223G0001X

Identifiers

TypeValueNotes
01 (PA) 1646968 UNITED CONCORDIA

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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