Coastal 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.