Organization
COASTAL ORAL SURGERY
Active
Parent organization
COASTAL ORAL SURGERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL ORAL SURGERY
Authorized official
DR. KEVIN DANIEL KIELY DMD (PRESIDENT/CEO)
(757) 784-2830
Entity
Organization
Contact information
Practice address
5408 DISCOVERY PARK BLVD STE 101, WILLIAMSBURG, VA 23188-2893
(757) 208-0138
(757) 206-1981
Mailing address
5408 DISCOVERY PARK BLVD STE 101, WILLIAMSBURG, VA 23188-2893
(757) 784-2830
(757) 206-1981
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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