DR. COOLRIDGE COLEMAN (NPI# 1124247168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124247168 |
| Entity Type | Individual |
| Full Name | DR. COOLRIDGE COLEMAN |
| Credential | D.D.S. |
| Practice Address |
1558 N Fletcher St Jasper TX 75951-2603 |
| Mailing Address |
Po Box 1941 Jasper TX 75951-0020 |
| Practice Telephone | 4093846463 |
| Practice Fax Number | 4093845132 |
| Mailing Telephone | 4093846463 |
| Mailing Fax Number | 4093845132 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12951 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS DENTAL LICENSE | 12951 | 01 |
| TX | EXISTING BCBS PROVIDER # | D12951 | 01 |
| Street Address |
1558 N FLETCHER ST |
| City | JASPER |
| State | TX |
| Zip Code | 75951-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962041772 | Hughes Medical Group | Nurse Practitioner | 1501-c S Wheeler, Jasper, TX 75951 | 2019-12-26 |
| 1871023028 | Tamara Nicole Vandiver | Nurse Practitioner | 2427 Hwy 255 West, Brookeland, TX 75951 | 2017-06-19 |
| 1336687383 | Nina Martindale | Nurse Practitioner | 2400 County Road 138, Jasper, TX 75951 | 2017-02-09 |
| 1275931792 | David Scott Hughes | Counselor | 1501-c South Wheeler St, Jasper, TX 75951 | 2014-12-16 |
| 1881091684 | D.scott Hughes Center for Counseling and Rehab | Clinic/Center | 1501-c South Wheeler, Jasper, TX 75951 | 2014-11-24 |
| 1720497480 | Harvest Counseling | Marriage & Family Therapist | 1501-c South Wheeler Street, Jasper, TX 75951 | 2014-08-07 |
| 1841539269 | Kathleen M Russell | Social Worker | 139 West Lamar Street, Jasper, TX 75951 | 2013-02-05 |
| 1750668034 | Susan Irene Craft | Hearing Instrument Specialist | 530 S. Wheeler, Jasper, TX 75951 | 2011-11-14 |
| 1194012740 | Harbor Hospice of East Texas Lp | Hospice Care, Community Based | 1440 Fm 777, Jasper, TX 75951 | 2011-07-05 |
| 1457661845 | Barbara Patin | Occupational Therapist | 11117 Fm 777, Jasper, TX 75951 | 2010-10-19 |
| Find all providers in zip 75951 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497365498 | Krina Patel | Dentist | 101 6th Ave Nw, Jasper, AL 35504-7486 | 2020-08-04 |
| 1396275681 | Evan Frisbee | Dentist | 938 W Church St, Jasper, GA 30143-1496 | 2017-06-19 |
| 1104209790 | Wagner Family Dental | Dentist | 4115 Mannheim Rd, Jasper, IN 47546-2964 | 2015-07-01 |
| 1699104000 | Jasper Family Dental | Dentist | 329 E Gibson St, Jasper, TX 75951-5028 | 2013-11-06 |
| 1205062379 | Sequatchie Valley Dental Associates, PC | Dentist | 507 Betsy Pack Dr, Suite B, Jasper, TN 37347-3321 | 2009-06-03 |
| 1811121445 | Van Tuyl Dental Group | Dentist | 929 Cove Rd, Suite F, Jasper, GA 30143-4444 | 2009-05-11 |
| 1265683999 | Philip Schwenk | Dentist | 1444 Executive Blvd, Jasper, IN 47546-9300 | 2008-09-30 |
| 1558543827 | James M. Hamilton Jr. | Dentist | 442 W Houston St, Jasper, TX 75951-3511 | 2007-11-28 |
| 1063613743 | Lesley Suzanne Kizior | Dentist | 825 W 13th St, Jasper, IN 47546-1820 | 2007-05-30 |
| 1144308693 | Stanton Clay Eggers | Dentist | 1206 Highway 78 East, Jasper, AL 35501 | 2006-11-01 |
| Find all providers in JASPER | ||||
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| 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.