Provider Demographics
NPI:1679722763
Name:COKER, WILLIAM LUTHER III (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LUTHER
Last Name:COKER
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:748 MCGUIRE PL STE B
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1674
Mailing Address - Country:US
Mailing Address - Phone:757-310-6904
Mailing Address - Fax:757-327-0307
Practice Address - Street 1:748 MCGUIRE PL STE B
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-1674
Practice Address - Country:US
Practice Address - Phone:757-310-6904
Practice Address - Fax:757-327-0307
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401412155122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist