Individual
DR. CHAD JEFFREY COOMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
BLDG B-6837 NORMANDY DRIVE, FORT BRAGG, NC 28310-7597
(385) 888-0026
Mailing address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT LIBERTY, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7774052-9921
UT
1223G0001X
General Practice Dentistry
Primary
7774052-9923
UT
1223G0001X
General Practice Dentistry
D-4588
ID
1223G0001X
General Practice Dentistry
D10758
OR
Other
Enumeration date
09/30/2010
Last updated
11/12/2024
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