Organization
COASTAL DENTAL LLC
Active
Other names
Coastal Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN MATTHEW JORDAN DMD (DENTIST/OWNER)
(251) 362-4490
Entity
Organization
Contact information
Practice address
208 W 19TH AVE, GULF SHORES, AL 36542-3041
(251) 968-8789
(251) 968-6520
Mailing address
208 W 19TH AVE, GULF SHORES, AL 36542-3041
(251) 968-8789
(251) 968-6520
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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