Provider Demographics
NPI:1568087070
Name:COLEMAN, EMILY WOODS (DMD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:WOODS
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1374 GA HIGHWAY 119 N
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:GA
Mailing Address - Zip Code:31329-4204
Mailing Address - Country:US
Mailing Address - Phone:912-660-8524
Mailing Address - Fax:
Practice Address - Street 1:2515 HABERSHAM ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31401-9346
Practice Address - Country:US
Practice Address - Phone:912-234-2206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN016041122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist