Benjamin Bruce Coffey, DDS MS

Key facts

NPI

1063986271

Entity type

Individual (NPI type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X

License

2386 (TN)

Practice address

424 N High St
Morristown, TN 37814-3863

Phone

(423) 586-2336

Fax

(423) 586-2396

NPI assigned

Jan 22, 2019

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 22, 2019.

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1063986271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N HIGH ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143863",
            "telephone_number": "423-586-2336",
            "fax_number": "423-586-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N HIGH ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143863",
            "telephone_number": "423-586-2336",
            "fax_number": "423-586-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "BENJAMIN",
        "middle_name": "BRUCE",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "2386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

• Elisabeth A. Clarke-Schoenoff, D.C.
• Teresa Nave Clement, CCCSLP
• Chelsea Suzanne Clevenger, PTA
• Jennifer Clevinger, RN
• Jamie Victoria Cobble
• Carla Renee Coffey, FNP-BC
• Morgan Brittany Coffey, PA
• Whitney Lauren Coffman, LPN
• Christopher S Cole, PT
• Jennifer Nicole Cole, FNP-C

All providers in Morristown, TN · Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee