Provider Demographics
NPI:1023030863
Name:COE, HAROLD IRVIN JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:IRVIN
Last Name:COE
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4325 BASAL CREEK LN
Mailing Address - Street 2:FUQUAY VARINA
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-8679
Mailing Address - Country:US
Mailing Address - Phone:407-342-1324
Mailing Address - Fax:
Practice Address - Street 1:4325 BASAL CREEK LN
Practice Address - Street 2:FUQUAY VARINA
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-8679
Practice Address - Country:US
Practice Address - Phone:407-342-1324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN13431122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist