Coffelt, Marie

Coffelt, Marie is an sole proprietor health care provider with primary practice located at 6225 Brandon Ave Ste 170, Springfield VA 22150-2526. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Coffelt, Marie can be contacted via phone (703) 451-3900.

Contact Information

Primary practice address
6225 Brandon Ave Ste 170 Springfield VA 22150-2526
Phone: (703) 451-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 0401007549 Virginia

Profile Details

NPI number 1538566567
LBN Legal business name Coffelt, Marie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2014
Last updated Nov 19th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538566567 NPPES
Virginia Other 0401007549 DENTAL LICENSE

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