Provider Demographics
NPI:1568520732
Name:COATS, BECKY (DDS)
Entity Type:Individual
Prefix:DR
First Name:BECKY
Middle Name:
Last Name:COATS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2631 IRA E WOODS AVE
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-3829
Mailing Address - Country:US
Mailing Address - Phone:817-481-6888
Mailing Address - Fax:817-251-1999
Practice Address - Street 1:2631 IRA E WOODS AVE
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3829
Practice Address - Country:US
Practice Address - Phone:817-481-6888
Practice Address - Fax:817-251-1999
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice