Organization
COASTAL DENTAL AESTHETICS ENTERPRISE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY NABUT DMD (OWNER/DOCTOR)
(919) 943-0279
Entity
Organization
Contact information
Practice address
4001 16TH ST N, ST PETERSBURG, FL 33703-5605
(919) 943-0279
Mailing address
210 MADISON ST S, ST PETERSBURG, FL 33711-1251
(919) 943-0279
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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