Individual
DR. PAUL E. COGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MPH, PA
Contact information
Practice address
1203 RIDGE RD, RALEIGH, NC 27607-6834
(919) 832-0168
Mailing address
1203 RIDGE RD, RALEIGH, NC 27607-6834
(919) 832-0168
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5800
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8991702
—
NC
Enumeration date
08/26/2005
Last updated
04/01/2014
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