Dennis J. Coleman, D.D.S.
Individual provider Active NPI General Practice Dentistry · Davidson, NC
NPI 1295810562 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295810562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6972 (NC)
- Practice address
- 460 S Main St
Davidson, NC 28036-8006 - Phone
- (704) 896-5850
- Fax
- (704) 896-2780
- NPI assigned
- Oct 26, 2006
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6972 | NC | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6972 | NC | Yes |
Addresses
Primary practice location
460 S Main St
Davidson, NC 28036-8006
Mailing address
460 S Main St
Davidson, NC 28036-8006
Phone (704) 896-5850
Other providers in Davidson, NC
- Joseph Nnamdi Chukwu Jr.
- Clark Counseling, PLLC
- Erin M Clark
- Kelley Cock
- Coleman and Dastrup PLLC
- Herbert Neal Collins Jr.
- Tanya Leal Condiano
- Allison Jane Copeck
- Ryan Austin Corbello
- Laquanda Malika Coulote
All providers in Davidson, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.