Individual
DR. RANDOLPH ALAN COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298
(804) 828-2977
Mailing address
PO BOX 980556, RICHMOND, VA 23298-0556
(804) 828-2977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415440
VA
1223G0001X
General Practice Dentistry
DN 11578
FL
Other
Enumeration date
03/08/2006
Last updated
09/20/2018
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