Individual
DR. CHERYL R COGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
440 SAM RIDLEY PKWY W STE 140, SMYRNA, TN 37167-2999
(615) 625-2910
Mailing address
105 SHADY HOLLOW DR, MOUNT JULIET, TN 37122-7840
(615) 243-3581
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5154
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520633
—
TN
01
—
5154
TENNESSEE STATE LICENSE
TN
Enumeration date
07/27/2010
Last updated
11/27/2017
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