FRED D COFFMAN DDS INC NPI 1871769901

NPI Information

NPI: 1871769901
Provider Name: FRED D COFFMAN DDS INC

Doing Business As: ROCK ROSE DENTAL GROUP

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
576 N SUNRISE AVE STE 130
ROSEVILLE, CA
ZIP 95661
Phone: (916) 784-3337
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FRED D COFFMAN DDS INC is a dental clinic center in Roseville, CA. FRED D COFFMAN DDS INC NPI is 1871769901. The provider is registered as an organization entity type.
The provider Is Doing Business As Rock Rose Dental Group.

The provider's business location address is:

576 N SUNRISE AVE STE 130
ROSEVILLE, CA
ZIP 95661-846
Phone: (916) 784-3337
Fax: (916) 784-7459

The provider's authorized official is Fred D Coffman .
The authorized official title is President and has the following contact phone number (916) 784-3337.

The enumeration date for this NPI number is 5/8/2008 and was last updated on 5/8/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	029142	CALIFORNIA	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: 4/28/2024

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