Individual
DR. EARNEST DEAN COALTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17068 LANKFORD HIGHWAY, EASTVILLE, VA 23347
(757) 331-1086
(757) 442-9505
Mailing address
933 FIRST COLONIAL RD, SUITE 104, VIRGINIA BEACH, VA 23454
(757) 491-8075
(757) 422-4236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005323
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184089
UCCI INS
—
Enumeration date
08/22/2006
Last updated
10/24/2022
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