LONNITA LOUISE COULTER


Address: 4646 John R St, Detroit, MI 48201-1916
Phone: 3135761000

LONNITA LOUISE COULTER (NPI# 1104345958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104345958
Entity Type Individual
Full Name LONNITA LOUISE COULTER
Credential D.D.S.
Practice Address 4646 John R St
Detroit
MI 48201-1916
Mailing Address 10028 Allen Pointe Dr
Allen Park
MI 48101-1785
Practice Telephone 3135761000
Enumeration Date 2017-09-13
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice 		2901022495 MI Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
16800 W 12 Mile Rd Ste 103, Southfield, MI 480766335 2484435371

Office Location

Street Address 4646 JOHN R ST
City DETROIT
State MI
Zip Code 48201-1916

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356344121 Christopher Emil Hermann Nurse Practitioner 4646 John R St, Detroit, MI 48201-1916 2005-05-24
1881293892 Derrick Williams Registered Nurse 4646 John R St, Detroit, MI 48201-1916 2020-10-21
1598371544 Sonia Govil Dietitian, Registered 4646 John R St, Detroit, MI 48201-1916 2020-09-16
1740893569 Nicholas Edward Peters Pharmacist 4646 John R St, Detroit, MI 48201-1916 2020-08-31
1710597455 Amber Michelle Young Social Worker 4646 John R St, Detroit, MI 48201-1916 2020-08-07
1104434471 Zeinab H Moussa Pharmacist 4646 John R St, Detroit, MI 48201-1916 2020-07-22
1235747346 Samantha Beth Lewis Psychologist 4646 John R St, Detroit, MI 48201-1916 2020-07-15
1477171189 Rima Mohammad Fardos Pharmacist 4646 John R St, Detroit, MI 48201-1916 2020-07-09
1992323869 Sarah F Waqhar Student in an Organized Health Care Education/Training Program 4646 John R St, Detroit, MI 48201-1916 2020-07-08
1619594181 Mellisa Ann Boyle Student in an Organized Health Care Education/Training Program 4646 John R St, Detroit, MI 48201-1916 2020-07-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528678687 Elmwood Park Dental Dentist 1547 E Lafayette St, Detroit, MI 48207-2958 2020-08-04
1205452786 Daniel Galvez Dentist 200 Riverfront Dr Apt 20f, Detroit, MI 48226-7598 2020-06-22
1669947107 Diamond Smiles Dentistry, PC Dentist 13334 E Jefferson Ave, Detroit, MI 48215-2719 2018-10-11
1053802629 Hussein Daher Dentist 6061 W Vernor Hwy Ste 1, Detroit, MI 48209-2085 2018-05-19
1497278287 Kamil Abraham Dentist 24366 Grand River Ave Ste 111, Detroit, MI 48219-3098 2017-07-24
1326561887 Nicholas Dipilla Dentist 1 Woodward Ave Ste 1625, Detroit, MI 48226-3422 2017-07-17
1164963401 Smile Fresh Detroit PC Dentist 7230 Gratiot Avenue, Detroit, MI 48213 2017-03-20
1164967469 Fady Sarkees Dentist 21427 Grand River Ave, Detroit, MI 48219-3896 2016-12-23
1538523477 Charnia Hall Dentist 4272 Saint Antoine St, Detroit, MI 48201-2108 2016-04-06
1093178378 Florence Koloko Dentist 250 E Harbortown Dr Apt 608, Detroit, MI 48207-5010 2016-04-03
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Competitor

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City DETROIT
Zip Code 48201

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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