Jeffrey Scott Coleman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DNO10883 Issued in GA

Practice address

1050 Eagles Landing Pkwy
Suite 100
Stockbridge, GA 30281-9018

Phone

(770) 507-4424

Fax

(770) 507-4889

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962527333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 EAGLES LANDING PKWY",
            "address_2": "SUITE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819018",
            "telephone_number": "770-507-4424",
            "fax_number": "770-507-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 EAGLES LANDING PKWY",
            "address_2": "SUITE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819018",
            "telephone_number": "770-507-4424",
            "fax_number": "770-507-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DNO10883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Colbert, MED, CCC-SLP
• Jasmine Reed Colbert, RN, BSN, IBCLC
• Dianja E Coleman-McMillan, OTR/L
• Arlesuah Y Coleman
• Ivana Leslie Simpson Coleman, M.D.
• Kristen Coleman
• Coley Reliable Care
• Colin E Williams DDS PC
• Latonia Melissa Collier, NP
• Aurelia Collins

• Dentist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.