Coastal Jaw Surgery Of New Port Richey, P.a.
Oral and Maxillofacial Dental Clinic
2720 Park Dr, Clearwater
Florida, 33763-1020
727-726-8500 727-725-9716
Maps & DirectionsCoastal Jaw Surgery Of New Port Richey, P.a. is a Oral and Maxillofacial Dental Clinic in Clearwater, Florida. It is located at 2720 Park Dr, Clearwater, FL and its contact number is 727-726-8500. The authorized person for Coastal Jaw Surgery Of New Port Richey, P.a. is Dr. Mark Wayne Mitchell
who is President of the clinic and their contact number is 727-842-5180. The primary license number for Coastal Jaw Surgery Of New Port Richey, P.a. is DN10802 (Oral and Maxillofacial Surgery) in Florida.
Coastal Jaw Surgery Of New Port Richey, P.a. Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Coastal Jaw Surgery Of New Port Richey, P.a. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Coastal Jaw Surgery Of New Port Richey, P.a. |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 2720 Park Dr, Clearwater,
Florida, 33763-1020 |
| Phone: | 727-726-8500 |
| Fax: | 727-725-9716 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Mark Wayne Mitchell |
| Position: | President |
| Contact Number: | 727-842-5180 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Coastal Jaw Surgery Of New Port Richey, P.a. clinic are as mentioned below.
| NPI Number: | 1710131826 |
| NPI Enumeration Date: | 17 Nov, 2008 |
| NPI Last Update On: | 17 Nov, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Coastal Jaw Surgery Of New Port Richey, P.a. are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | DN10802 | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 072932900 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Coastal Jaw Surgery Of New Port Richey, P.a.
6731 Madison St,
New Port Richey, Florida |
| Zip: | 34652-1928 |
| Phone Number: | 727-842-5180 |
| Fax Number: | 727-846-0755 |
Patients can reach Coastal Jaw Surgery Of New Port Richey, P.a. at
2720 Park Dr, Clearwater, Florida or can
call to book an appointment on 727-726-8500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.