NPI 1538566567 · live from the CMS NPI Registry
Marie Coffelt, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Springfield, VA. National Provider Identifier 1538566567, active.
NPI record
| NPI | 1538566567 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 6225 Brandon Ave, Ste 170, Springfield, VA 22150 |
| Practice phone | 703-451-3900 |
| Mailing address | 1350 Spring St Nw, Ste 600, Atlanta, GA 30309 |
| Enumerated | November 19, 2014 |
| Last updated | November 19, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 0401007549 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.