Earnest Dean Coalter Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401005323 Issued in VA

Practice address

17068 Lankford Highway
Eastville, VA 23347

Phone

(757) 331-1086

Fax

(757) 442-9505

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Earnest D Coalter Jr DDS PC

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1790891760
  Authorized official Same address or phone
• Earnest D. Coalter, Jr. DDS

  dba a division of Atlantic Dental Care

  • Dentist
  • Virginia Beach, VA
  • NPI 1699011866
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1235245200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 FIRST COLONIAL RD",
            "address_2": "SUITE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23454",
            "telephone_number": "757-491-8075",
            "fax_number": "757-422-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17068 LANKFORD HIGHWAY",
            "city": "EASTVILLE",
            "state": "VA",
            "postal_code": "23347",
            "telephone_number": "757-331-1086",
            "fax_number": "757-442-9505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "933 First Colonial Rd",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "23454",
            "country_code": "US",
            "telephone_number": "757-491-8075",
            "fax_number": "757-422-4236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COALTER",
        "first_name": "EARNEST",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401005323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI INS",
            "identifier": "184089",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christina Ulloa Bollinger, D.D.S.
• Nathan Smith Davidson II, CRNP
• Eastern Shore Rural Health System Incorporated (Eastville Community Pharmacy)
• Eastern Shore Rural Health System Incorporated (Eastville Community Health Center)
• Eastern Shore Rural Health System Incorporated (Northampton Dental)
• Eastville Medical Care, PLC

• General Practice Dentistry in Eastville, VA
• Providers in Eastville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.