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COLEMAN DENTAL ASSOCIATES PC NPI 1710131545


NPI Information

NPI: 1710131545
Provider Name: COLEMAN DENTAL ASSOCIATES, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
970 MARTIN LUTHER KING JR DR SW
SUITE 301
ATLANTA, GA
ZIP 30314
Phone: (404) 523-3153
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COLEMAN DENTAL ASSOCIATES, PC is a general practice dentist in Atlanta, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. COLEMAN DENTAL ASSOCIATES, PC NPI is 1710131545. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

970 MARTIN LUTHER KING JR DR SW
SUITE 301
ATLANTA, GA
ZIP 30314-962
Phone: (404) 523-3153
Fax: (404) 523-0136

The provider's authorized official is Marla O. Coleman .
The authorized official title is President and has the following contact phone number (404) 523-3153.

The enumeration date for this NPI number is 11/6/2008 and was last updated on 11/6/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryDN013127GEORGIANo
21223G0001XDentistGeneral PracticeDN010307GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000364823AMEDICAIDGEORGIA
2692906293AMEDICAIDGEORGIA

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: 4/28/2024

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