Individual
CHARLES COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
701 NW MCNELLY RD STE 13, BENTONVILLE, AR 72712-9160
(517) 648-4503
Mailing address
1815 SOMERVILLE RD SE, DECATUR, AL 35601-5015
(256) 355-2275
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2023034426
MO
122300000X
Dentist
Primary
4728
AR
122300000X
Dentist
D-0006888-C1
AL
Other
Enumeration date
06/15/2021
Last updated
03/08/2024
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