Organization
COASTAL PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI H HUBBARD DMD (OWNER)
(912) 756-5437
Entity
Organization
Contact information
Practice address
1101 GANDY DANCER, RICHMOND HILL, GA 31324-8897
(912) 756-5437
Mailing address
1101 GANDY DANCER, RICHMOND HILL, GA 31324-8897
(912) 756-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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