Provider Demographics
NPI:1245603869
Name:CARMEN A COTE
Entity Type:Organization
Organization Name:CARMEN A COTE
Other - Org Name:A DIVISION OF ATLANTIC DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:COTE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-587-4433
Mailing Address - Street 1:7913 AZALEA GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-3201
Mailing Address - Country:US
Mailing Address - Phone:757-587-4433
Mailing Address - Fax:
Practice Address - Street 1:7913 AZALEA GARDEN RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-3201
Practice Address - Country:US
Practice Address - Phone:757-587-4433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ATLANTIC DENTAL CARE PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401411151122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty