# COAST DENTAL OF NEVADA INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083984249
- **Authorized official:** DARLENE FINNELL (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (813) 350-7160

## Contact information

- **Practice address:** 2660 WINDMILL PKWY, HENDERSON, NV 89074
- **Practice address phone:** (813) 288-1999
- **Mailing address:** 5706 BENJAMIN CENTER DR STE 103, TAMPA, FL 33634-5262
- **Mailing address phone:** (813) 350-7160
- **Mailing address fax:** (813) 434-2325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NV | Yes |

## Other

- **Enumeration date:** 01/05/2012
- **Last updated:** 05/30/2018