MR. CHARLES OAKLEY COULTER DDS NPI 1679697064

NPI Information

NPI: 1679697064
Provider Name: MR. CHARLES OAKLEY COULTER, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
2230 TOWNE LAKE PARKWAY
BUILDING 1300 SUITE 100
WOODSTOCK, GA
ZIP 30189
Phone: (678) 445-5444
Get Directions

MR. Charles Oakley Coulter, DDS is a pediatric dentistry dentist in Woodstock, GA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MR. Charles Oakley Coulter, DDS NPI is 1679697064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2230 TOWNE LAKE PARKWAY
BUILDING 1300 SUITE 100
WOODSTOCK, GA
ZIP 30189
Phone: (678) 445-5444
Fax: (678) 445-5552

The enumeration date for this NPI number is 3/19/2007 and was last updated on 12/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	DN013607	GEORGIA	No
2	1223P0221X	Dentist	Pediatric Dentistry	DEN1001274	DISTRICT OF COLUMBIA	No
3	1223P0221X	Dentist	Pediatric Dentistry	0401414164	VIRGINIA	No
4	1223P0221X	Dentist	Pediatric Dentistry	35438	TEXAS	No
5	1223P0221X	Dentist	Pediatric Dentistry	14922	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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