Individual
DR. MICHAEL COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5944 STETSON HILLS BLVD STE 100, COLORADO SPRINGS, CO 80923-3506
(732) 241-6587
Mailing address
5944 STETSON HILLS BLVD STE 100, COLORADO SPRINGS, CO 80923-3506
(732) 241-6587
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15353
MD
122300000X
Dentist
Primary
202694
CO
Other
Enumeration date
06/03/2013
Last updated
02/04/2021
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