Provider Demographics
NPI:1710085352
Name:COLEMAN AND TURNER DENTAL ASSOCIATES
Entity Type:Organization
Organization Name:COLEMAN AND TURNER DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SPARANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-981-0380
Mailing Address - Street 1:1601 WALNUT ST STE 720
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-2904
Mailing Address - Country:US
Mailing Address - Phone:215-981-0380
Mailing Address - Fax:215-567-0544
Practice Address - Street 1:1601 WALNUT ST STE 720
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19102-2904
Practice Address - Country:US
Practice Address - Phone:215-981-0380
Practice Address - Fax:215-567-0544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS018716L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty