| Charles T. Coleman, D.m.d.,p.c. | |
|
5207 Pinnacle Pkwy Covington LA 70433-9191 | |
| (985) 893-4882 | |
| (985) 893-4883 |
| Full Name | Charles T. Coleman, D.m.d.,p.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5207 Pinnacle Pkwy, Covington, Louisiana |
| Authorized Official Name and Position | Charles Coleman (PRESIDENT) |
| Authorized Official Contact | 9858934882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles T. Coleman, D.m.d.,p.c. 5207 Pinnacle Pkwy Covington LA 70433-9191 Ph: (985) 893-4882 | Charles T. Coleman, D.m.d.,p.c. 5207 Pinnacle Pkwy Covington LA 70433-9191 Ph: (985) 893-4882 |
| NPI Number | 1205265261 |
|---|---|
| Provider Enumeration Date | 11/09/2013 |
| Last Update Date | 11/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205265261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5013 (Louisiana) | Primary |
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