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Organization
COASTAL DENTAL SERVICES, PLLC
Active
Organization
COASTAL DENTAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D NEWMAN DDS (PRESIDENT)
(757) 965-5194
Entity
Organization
Contact information
Practice address
FRANKTOWN COMMUNITY HEALTH CENTER, 9159 FRANKTOWN ROAD, FRANKTOWN, VA 23354
(757) 414-0400
Mailing address
5460 BROCKIE ST, VIRGINIA BEACH, VA 23464-7737
(757) 965-5194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0443000025
VA
261QD0000X
Dental Clinic/Center
Primary
0443000025
VA
261QD0000X
Dental Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
NULL
Other
Enumeration date
06/23/2017
Last updated
03/13/2026
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