Fred D Coffman DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

029142 Issued in CA

Legal business name

FRED D COFFMAN DDS INC

Doing business as

Rock Rose Dental Group

Practice address

576 N Sunrise Ave Ste 130
Roseville, CA 95661-2846

Phone

(916) 784-3337

Fax

(916) 784-7459

NPI assigned

May 8, 2008

Organization subpart

No

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

Authorized official

Name

Fred D Coffman, DDS

Title

President

Phone

(916) 784-3337

Specialties & licenses 1

Addresses

Other names 1

• Rock Rose Dental Group Doing business as

Tax ID family

Fred D Coffman DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fred D. Coffman, D.D.S., Inc.

  • General Practice Dentistry
  • Roseville, CA
  • NPI 1396825766
  NPD tax ID

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1871769901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 N SUNRISE AVE STE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612846",
            "telephone_number": "916-784-3337",
            "fax_number": "916-784-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 N SUNRISE AVE STE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612846",
            "telephone_number": "916-784-3337",
            "fax_number": "916-784-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED D COFFMAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-784-3337",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "029142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Rose Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Michelle Franklin, B.A
• Judy L Franks, CADC-I
• Vanessa G Franz
• Jamie Frazier, LMFT
• Rachael D Frazier, AGPCNP
• Fred D. Coffman, D.D.S., Inc.
• Fred P. Guarcello & Peter S. Klem PTR
• Fred P. Guarcello, O.D.
• Fred Weiland MD, Inc
• Frederick R Sautter Licensed Clinical Social Worker Inc

• Dental Clinic/Center in Roseville, CA
• Providers in Roseville, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.