Organization Active NPI

Robert L. Coles, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Mauldin, SC
National Provider Identifier
1659543148
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
ROBERT L. COLES, DMD
Practice address
15B Winchester CT
Mauldin, SC 29662-2626
Phone
(864) 297-3601
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Dr. Robert L Coles, DMD
Title
Owner
Phone
(864) 297-3601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

15B Winchester CT
Mauldin, SC 29662-2626

Mailing address

15B Winchester CT
Mauldin, SC 29662-2626
Phone (864) 297-3601

National Provider Directory

National Provider Directory

Locations

15 Winchester Ct
#B
Mauldin, SC 29662
Phone (864) 297-3601

15B Winchester Ct
Mauldin, SC 29662
Phone (864) 297-3601

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1659543148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15B WINCHESTER CT",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622626",
            "telephone_number": "864-297-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15B WINCHESTER CT",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622626",
            "telephone_number": "864-297-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. COLES, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "COLES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-297-3601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauldin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.