Individual
DR. DAVID BRIAN COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2204 SCOTT ST, LAFAYETTE, IN 47904-2933
(765) 447-0525
(765) 447-5815
Mailing address
2204 SCOTT ST, LAFAYETTE, IN 47904-2933
(765) 447-0525
(765) 447-5815
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12008777
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100445200A
—
IN
Enumeration date
06/02/2005
Last updated
09/28/2010
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