Coleman and Dastrup PLLC
Organization Active NPI General Practice Dentistry · Davidson, NC
NPI 1649933490 · NPPES record last updated Oct 19, 2021
Key facts
- NPI
- 1649933490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- COLEMAN AND DASTRUP PLLC
- Practice address
- 460 S Main St Ste 101
Davidson, NC 28036-8006 - Phone
- (704) 896-5850
- NPI assigned
- Oct 19, 2021
- Organization subpart
- No
Authorized official
- Name
- Mrs. Andrea Leight St-Cyr
- Title
- Patient Coordinator
- Phone
- (704) 896-5850
National Provider Directory
Locations
460 S Main St
Ste 101
Davidson, NC 28036
Phone (704) 896-5850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
460 S Main St Ste 101
Davidson, NC 28036-8006
Mailing address
PO Box 4297
Davidson, NC 28036-4297
Phone (704) 896-5850
Other providers in Davidson, NC
- Yongyue Chen
- Joseph Nnamdi Chukwu Jr.
- Clark Counseling, PLLC
- Erin M Clark
- Kelley Cock
- Dennis J. Coleman
- Herbert Neal Collins Jr.
- Tanya Leal Condiano
- Allison Jane Copeck
- Ryan Austin Corbello
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 Oct 19, 2021. 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.