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NPI Code Detail

MEDICARE: DR. CHRISTINE COATS DDS

MEDICARE:  DR. CHRISTINE  COATS  DDS
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
11223G0001XGeneral Practice DentistryIL

General Provider Information

NPI Number : 1952324287
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE COATS DDS
Provider Business Mailing Address
First Line : PO BOX 53
Second Line :
City : BEECHER
State : IL
Zip : 60401-0053
Country : US
Telephone Number : 708-946-3777
Fax Number : 708-946-1923
Provider Business Practice Location Address
First Line : 643 S DIXIE HWY
Second Line :
City : BEECHER
State : IL
Zip : 60401-3666
Country : US
Telephone Number : 708-946-3777
Fax Number : 708-946-1923
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/08/2007

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Directions to “ DR. CHRISTINE COATS DDS” Practice Location

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