Marilyn Coleman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401006895 Issued in VA

Practice address

173 Saint Patricks Dr Ste 204
Waldorf, MD 20603-5531

Phone

(301) 645-6500

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Charles Family Dental

  • General Practice Dentistry
  • Waldorf, MD
  • NPI 1619359213
  NPD (past)
• Dr. Marilyn Coleman, DDS PC

  • General Practice Dentistry
  • Woodbridge, VA
  • NPI 1134276819
  NPD (past)
• Happy Family Dentistry, P.C.

  dba Opitz Family Dental

  • Dental Clinic/Center
  • Woodbridge, VA
  • NPI 1548784176
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1972662492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 OPITZ BLVD",
            "address_2": "SUITE 220",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913321",
            "telephone_number": "703-492-0080",
            "fax_number": "703-492-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 SAINT PATRICKS DR STE 204",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206035531",
            "telephone_number": "301-645-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MARILYN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401006895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057342600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willa M Colbert, M.A., NCC
• Lacole A Cole, LGPC
• China Coleman
• Elizabeth Ashley Coleman, PTA
• Maria Coleman, DDA-20
• Stacy Coleman, IDMT
• Sheila Collicott, PSY.D.
• Lily Collingwood
• Marie Anna Collins
• Michelle L Collins, OTRL

• General Practice Dentistry in Waldorf, MD
• Providers in Waldorf, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.