| Fred D. Coffman, D.d.s., Inc. | |
|
1801 Douglas Blvd Suite B Roseville CA 95661-2913 | |
| (916) 784-3337 | |
| (916) 784-7459 |
| Full Name | Fred D. Coffman, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1801 Douglas Blvd, Roseville, California |
| Authorized Official Name and Position | Fred D Coffman (PRESIDENT) |
| Authorized Official Contact | 9167843337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred D. Coffman, D.d.s., Inc. 1801 Douglas Blvd Suite B Roseville CA 95661-2913 Ph: (916) 784-3337 | Fred D. Coffman, D.d.s., Inc. 1801 Douglas Blvd Suite B Roseville CA 95661-2913 Ph: (916) 784-3337 |
| NPI Number | 1396825766 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396825766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 029142 (California) | Primary |
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