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General NPI Number Information
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NPI Number | 1033102660
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Entity Type | Individual
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Provider Name | PATRICK J COYNE DDS
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Gender | Male
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 2832 INDIAN WELLS RD
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City | ALAMOGORDO
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State | NM
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Zip | 88310-3861
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Country | US
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Telephone | 575-439-0446
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Fax | 575-439-0622
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Provider Business Mailing Address
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Address Line | PO BOX 370
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City | HATCH
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State | NM
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Zip | 87937-0370
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Country | US
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Telephone | 575-267-3280
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Fax | 575-267-1747
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DD2393
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License Number State | NM
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