Organization
AFFORDABLE SMILES OF GULFPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA COATS (INSURANCE CREDENTIALING MANAGER)
(504) 609-2599
Entity
Organization
Contact information
Practice address
9310 HIGHWAY 49, GULFPORT, MS 39503-4257
(228) 202-2929
(228) 202-2922
Mailing address
9310 HIGHWAY 49, GULFPORT, MS 39503-4257
(228) 202-2929
(228) 202-2922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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