Provider Demographics
NPI:1578212270
Name:COKER, OLUTOYOSI ENIOLA KOYINSOLA (DMD)
Entity Type:Individual
Prefix:DR
First Name:OLUTOYOSI
Middle Name:ENIOLA KOYINSOLA
Last Name:COKER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:TOYOSI
Other - Middle Name:
Other - Last Name:COKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:16000 ROYAL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-9667
Mailing Address - Country:US
Mailing Address - Phone:919-741-4328
Mailing Address - Fax:
Practice Address - Street 1:1851 MACGREGOR DOWNS RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5925
Practice Address - Country:US
Practice Address - Phone:252-737-7834
Practice Address - Fax:252-737-7853
Is Sole Proprietor?:No
Enumeration Date:2022-03-21
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC128441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice