George Mackay Coleman Jr., D.M.D.
Dentist in Florissant, MO. Individual provider (NPI-1).
NPI number1275629909
StatusActive
Last updated in NPPESMar 2, 2016
Details
- NPI
- 1275629909
- Entity type
- Individual (NPI-1)
- Name
- George Mackay Coleman Jr.
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2006
- Last updated
- Mar 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 013199 | MO | Yes |
Practice location
14220 Old Halls Ferry RoadSuite 100
Florissant, MO 63034
Phone 314-355-2838
Mailing address
3739 Elm StSuite 100
Saint Charles, MO 63301-4345
Phone 636-443-2329
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All 30 Dentist providers in Florissant · All 2,275 providers in Florissant
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