Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
JUPITER DENTAL GROUP PLLC
Active
Organization
JUPITER DENTAL GROUP PLLC
Active
Other names
Kids Dental Zone
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN COFFMAN DMD (PRESIDENT)
(702) 300-7886
Entity
Organization
Contact information
Practice address
11000 GARLAND RD, DALLAS, TX 75218-2615
(214) 328-4867
Mailing address
PO BOX 939, LAKE DALLAS, TX 75065-0939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23791
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205190609
—
TX
Enumeration date
10/01/2013
Last updated
02/26/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up