Provider Demographics
NPI:1801856794
Name:GUNTER, COKE S (DDS PA)
Entity type:Individual
Prefix:DR
First Name:COKE
Middle Name:S
Last Name:GUNTER
Suffix:
Gender:M
Credentials:DDS PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 13TH AVE PLACE NW
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601
Mailing Address - Country:US
Mailing Address - Phone:828-328-5581
Mailing Address - Fax:828-322-1745
Practice Address - Street 1:221 13TH AVE PLACE NW
Practice Address - Street 2:SUITE 102
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601
Practice Address - Country:US
Practice Address - Phone:828-328-5581
Practice Address - Fax:828-322-1745
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
93441OtherBCBS
AG6066232OtherDEA
93441OtherBCBS