# DR L E COLE DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508953159
- **Authorized official:** LARRY E COLE DDS (PRESIDENT OF CORPORATION DENTIST)
- **Authorized official phone:** (304) 664-8163

## Contact information

- **Practice address:** RT 52, GILBERT, WV 25621-1298
- **Practice address phone:** (304) 664-8163
- **Mailing address:** PO BOX 1298, GILBERT, WV 25621-1298
- **Mailing address phone:** (304) 664-8163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2991 | WV | Yes |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0133824000 | — | WV |