MEDICARE: COAST DENTAL, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1932062676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COAST DENTAL, PLLC

Provider Business Mailing Address
First Line	:	1033 TOMMY MUNRO DR
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39532-2100
Country	:	US
Telephone Number	:	228-388-7766
Fax Number	:

Provider Business Practice Location Address
First Line	:	1033 TOMMY MUNRO DR
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39532-2100
Country	:	US
Telephone Number	:	228-388-7766
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ELI NATHAN LOWRY
Credential	:	DMD
Telephone Number	:	601-616-3473

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “COAST DENTAL, PLLC ” Practice Location

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