NPIMap

Organization Active NPI

Gerald L. Coates, Jr., DMD, PA

Doing business as Stonebridge Dental Associates

  • General Practice Dentistry
  • Havelock, NC
National Provider Identifier
1376637678
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5135 Issued in NC
Legal business name
GERALD L. COATES, JR., DMD, PA
Doing business as
Stonebridge Dental Associates
Practice address
92 Stonebridge TRL
Havelock, NC 28532-9553
Phone
(252) 447-3100
NPI assigned
Oct 3, 2006
Last updated
Apr 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Authorized official

Name
Dr. Gerald L Coates Jr., DMDNPI 1528044039
Title
President
Phone
(252) 447-3100

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
General Practice Dentistry 1223G0001X 5135 NC Primary

Addresses

Primary practice location

92 Stonebridge TRL
Havelock, NC 28532-9553

Mailing address

92 Stonebridge TRL
Havelock, NC 28532-9553
Phone (252) 447-3100

Other names 1

  • Stonebridge Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

92 Stonebridge Trl
Havelock, NC 28532
Phone (252) 447-3100

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1376637678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 STONEBRIDGE TRL",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285329553",
            "telephone_number": "252-447-3100",
            "fax_number": "252-447-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 STONEBRIDGE TRL",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285329553",
            "telephone_number": "252-447-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD L. COATES, JR., DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-447-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonebridge Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havelock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.