Provider Demographics
NPI:1578384434
Name:CHERYL COGGINS DDS PLLC
Entity type:Organization
Organization Name:CHERYL COGGINS DDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:COGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-243-3581
Mailing Address - Street 1:900 CONFERENCE DR
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-1923
Mailing Address - Country:US
Mailing Address - Phone:615-859-7117
Mailing Address - Fax:615-806-6682
Practice Address - Street 1:900 CONFERENCE DR
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-1923
Practice Address - Country:US
Practice Address - Phone:615-859-7117
Practice Address - Fax:615-806-6682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty