# MARSHALL S HUMES DDS ANTHONY PITROWSKI MD DMD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Maxillofacial Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104979707
- **Authorized official:** DR. MARSHALL SHERIDAN HUMES DDS (PRESIDENT)
- **Authorized official phone:** (805) 928-7611

## Contact information

- **Practice address:** 201 N COLLEGE DR, 202, SANTA MARIA, CA 93454-4614
- **Practice address phone:** (805) 928-7611
- **Practice address fax:** (805) 349-8551
- **Mailing address:** 201 N COLLEGE DRIVE, SUITE 202, SANTA MARIA, CA 93454
- **Mailing address phone:** (805) 928-7611
- **Mailing address fax:** (805) 349-8551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 27297 | CA | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 07/17/2007