MEDICARE: DR. HAROLD I. COE SR. D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN3075	FL

General Provider Information

NPI Number	:	1952323511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD I. COE SR. D.M.D.

Provider Business Mailing Address
First Line	:	7221 CHANCERY LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-7039
Country	:	US
Telephone Number	:	407-855-0474
Fax Number	:	407-855-0197

Provider Business Practice Location Address
First Line	:	7221 CHANCERY LN
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-7039
Country	:	US
Telephone Number	:	407-855-0474
Fax Number	:	407-855-0197

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	07/08/2007

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