Charles F Coon DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHARLES F COON DDS PLLC

Doing business as

At Ease Dental

Practice address

701 NW McNelly Rd Ste 13
Bentonville, AR 72712-9160

Phone

(517) 648-4503

NPI assigned

Mar 7, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Charles Fulcher Coon, DDSNPI 1164090346

Title

Owner/Dentist

Phone

(517) 648-4503

Specialties & licenses 1

Addresses

Other names 1

• At Ease Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Coon, DDS

  • Dentist
  • Bentonville, AR
  • NPI 1164090346
  NPD Authorized official

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1336907195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MARIONET CIR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727145903",
            "telephone_number": "517-648-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NW MCNELLY RD STE 13",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727129160",
            "telephone_number": "517-648-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES F COON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "COON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "FULCHER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "517-648-4503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Ease Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Dow Chandler, BC-HIS MCAP
• Shelly Chaney
• Ainsley Chapman
• Kimberly Kay Dunn Chapman, MD
• Jennifer Amy Chariton
• Aliya Charles
• Eva Charles
• Sara Chastain
• Carol A Chinn, AUD
• Payam Chitsazan

• Dental Clinic/Center in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.