Provider Demographics
NPI:1225586183
Name:EMERY M. COLE, DMD,PC
Entity Type:Organization
Organization Name:EMERY M. COLE, DMD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMERY
Authorized Official - Middle Name:M
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-648-3212
Mailing Address - Street 1:44 OAK DR
Mailing Address - Street 2:
Mailing Address - City:SUMITON
Mailing Address - State:AL
Mailing Address - Zip Code:35148-3814
Mailing Address - Country:US
Mailing Address - Phone:205-648-3212
Mailing Address - Fax:205-648-7354
Practice Address - Street 1:44 OAK DR
Practice Address - Street 2:
Practice Address - City:SUMITON
Practice Address - State:AL
Practice Address - Zip Code:35148-3814
Practice Address - Country:US
Practice Address - Phone:205-648-3212
Practice Address - Fax:205-648-7354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL45001223G0001X
AL31331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1154531747OtherNPI
AL1376689497OtherNPI