Provider Demographics
NPI:1952379729
Name:COFFIELD, KRISTINA DRAMSTAD (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:DRAMSTAD
Last Name:COFFIELD
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1971 EASTCHESTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265
Mailing Address - Country:US
Mailing Address - Phone:336-885-5500
Mailing Address - Fax:336-885-5501
Practice Address - Street 1:1971 EASTCHESTER DRIVE
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265
Practice Address - Country:US
Practice Address - Phone:336-885-5500
Practice Address - Fax:336-885-5501
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC69711223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC902 MNOtherBLUE CROSS BLUE SHIELD
NC89902 MNMedicaid