Provider Demographics
NPI:1558570283
Name:COE, KAREN ARDILA (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ARDILA
Last Name:COE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:R
Other - Last Name:ARDILA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:137 W STATE HIGHWAY 121 STE 110
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2912
Mailing Address - Country:US
Mailing Address - Phone:694-444-6579
Mailing Address - Fax:694-359-6754
Practice Address - Street 1:137 W STATE HIGHWAY 121 STE 110
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-2912
Practice Address - Country:US
Practice Address - Phone:694-444-6579
Practice Address - Fax:694-359-6754
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX283311223P0221X, 122300000X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Yes1223P0221XDental ProvidersDentistPediatric Dentistry