Organization Active NPI

Robert B Coon DMD PLLC

  • Dental Clinic/Center
  • Charlotte, MI
National Provider Identifier
1376439620
Registry record updated Jun 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROBERT B COON DMD PLLC
Practice address
204 S Bostwick St
Charlotte, MI 48813-1801
Phone
(313) 505-4573
NPI assigned
Jun 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2025

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

Authorized official

Name
Dr. Robert Brand Coon, DMDNPI 1396472064
Title
Owner
Phone
(313) 505-4573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

204 S Bostwick St
Charlotte, MI 48813-1801

Mailing address

3505 W Clark Rd Apt U203
Dewitt, MI 48820-9460
Phone (313) 505-4573

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749859200000",
    "number": "1376439620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 W CLARK RD APT U203",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209460",
            "telephone_number": "313-505-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S BOSTWICK ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131801",
            "telephone_number": "313-505-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B COON DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-14",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A",
        "authorized_official_last_name": "COON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-505-4573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2025; 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.