Philip John Coleman, DDS
Individual provider Active NPI General Practice Dentistry · Covington, WA
NPI 1457560096 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1457560096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DE00003790 (WA)
- Practice address
- 17203 SE 270TH PL
Covington, WA 98042-4941 - Phone
- (253) 852-0480
- Fax
- (253) 854-8634
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| DE00003790 | WA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00003790 | WA | |
| General Practice Dentistry | 1223G0001X | DE00003790 | WA | Yes |
Addresses
Primary practice location
17203 SE 270TH PL
Covington, WA 98042-4941
Mailing address
13510 SE 250TH St
Kent, WA 98042-6635
Phone (253) 631-2635
Other providers in Covington, WA
- Danae Claar
- Adyson Clabby
- Crystal Clayson
- Stephen Cobert
- Kathryn Colby
- Matthew David Comrie
- Keith Conley
- Copper Creek Medical, Inc.
- Lissette Corado
- Mikaela Costales
All providers in Covington, WA · General Practice Dentistry in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. 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.