Provider Demographics
NPI:1437937943
Name:COTE, CAROL S (PHDH)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:S
Last Name:COTE
Suffix:
Gender:F
Credentials:PHDH
Other - Prefix:MS
Other - First Name:CAROL
Other - Middle Name:S
Other - Last Name:COTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHDH
Mailing Address - Street 1:22 BAKEWELL CT
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02921-2409
Mailing Address - Country:US
Mailing Address - Phone:401-952-9465
Mailing Address - Fax:
Practice Address - Street 1:22 BAKEWELL CT
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02921-2409
Practice Address - Country:US
Practice Address - Phone:401-952-9465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPDH00001124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist