Provider Demographics
NPI:1093841652
Name:WILLIAM A COFER
Entity Type:Organization
Organization Name:WILLIAM A COFER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:COFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-877-1891
Mailing Address - Street 1:215 W POINSETT ST
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-1945
Mailing Address - Country:US
Mailing Address - Phone:864-877-1891
Mailing Address - Fax:
Practice Address - Street 1:215 W POINSETT ST
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-1945
Practice Address - Country:US
Practice Address - Phone:864-877-1891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty