Individual
DR. TIMOTHY BRIAN COFFELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
301 N FOUNTAIN AVE, SPRINGFIELD, OH 45504-2536
(937) 324-0005
Mailing address
301 N FOUNTAIN AVE, SPRINGFIELD, OH 45504-2536
(937) 324-0005
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
16826
OH
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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