WALTER I. COLEMAN, DDS, PLLC (NPI# 1568777290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568777290 |
| Entity Type | Organization |
| Organization Name | WALTER I. COLEMAN, DDS, PLLC |
| Practice Address |
111 W Dayton St Fremont MI 49412-1112 |
| Practice Telephone | 2319243600 |
| Mailing Telephone | 2319243600 |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |
| Authorized Official Name | DR. WALTER COLEMAN (OWNER) |
| Authorized Official Telephone | 6166060337 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
2901018831 | MI | Ambulatory Health Care Facilities |
| Street Address |
111 W DAYTON ST |
| City | FREMONT |
| State | MI |
| Zip Code | 49412-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730161175 | Kenneth B Weddell Dds PC | Dentist | 111 W Dayton St, Fremont, MI 49412-1112 | 2005-11-18 |
| 1487612842 | Jennifer M Boyd | Dentist | 111 W Dayton St, Fremont, MI 49412 | 2006-05-03 |
| 1104884147 | Kenneth Bruce Weddell | Dentist | 111 W Dayton St, Fremont, MI 49412 | 2006-05-01 |
| 1437116316 | Walter I Coleman | Dentist | 111 W Dayton St, Fremont, MI 49412 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437632437 | Claire Marie J Derks | Massage Therapist | 119 North Stone Road, Fremont, MI 49412 | 2018-09-14 |
| 1730565946 | Retirement Living Management of Fremont, L.L.C. | Assisted Living Facility | 801 E. Main Street, Fremont, MI 49412 | 2015-08-11 |
| 1497136410 | James Yon | Social Worker | 3682 S Maple Island Rd, Fremont, MI 49412 | 2015-06-16 |
| 1871864090 | Cheryl Lee Kublin | Specialist | 4554 W. 48th St, Fremont, MI 49412 | 2012-01-19 |
| 1326319583 | Colleen M Rice | Occupational Therapist | 4554 W. 48th Street, Fremont, MI 49412 | 2012-01-19 |
| 1154578847 | Greenlund Enterprises, Inc | Hearing Aid Equipment | 28 Wet Sheridan Street, Fremont, MI 49412 | 2008-08-25 |
| 1225170699 | Raymond Prins IIi | Dentist | 855 N Darling, Fremont, MI 49412 | 2007-02-13 |
| 1508933789 | Charles Merle Erickson | Dentist | 16 W Sheridan, Fremont, MI 49412 | 2006-11-30 |
| 1588741300 | Christopher Callis Niquette | Dentist | 327 Apache Dr, Fremont, MI 49412 | 2006-11-01 |
| 1417041179 | Newaygo County Resa | Local Education Agency (LEA) | 4747 W. 48th Street, Fremont, MI 49412 | 2006-10-03 |
| Find all providers in zip 49412 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457849960 | Dental White Management LLC | Clinic/Center | 43625 Mission Blvd Ste 105, Fremont, CA 94539-5800 | 2018-04-30 |
| 1720517626 | Mital Patel Dds Inc | Clinic/Center | 787 Boar Cir, Fremont, CA 94539-6046 | 2017-06-06 |
| 1902272529 | Moninder Kaur D.d.s | Clinic/Center | 2211 Parkside Dr Ste D, Fremont, CA 94536-5388 | 2015-08-18 |
| 1265850424 | Shuen Family Dental Group, Inc. | Clinic/Center | 39812 Mission Blvd Ste 109, Fremont, CA 94539-3088 | 2014-04-03 |
| 1639345879 | Tim Wang Dds, Inc | Clinic/Center | 46921 Warm Springs Blvd Ste 203, Fremont, CA 94539-7934 | 2008-05-07 |
| 1205005436 | M.s. Tancio, D.m.d. A Professional Dental Corporation | Clinic/Center | 39370 Civic Center Dr, Suite D, Fremont, CA 94538-6716 | 2008-02-21 |
| 1033718838 | Gurman Dental Inc | Clinic/Center | 3456 Mowry Ave, Fremont, CA 94538-1422 | 2020-10-22 |
| 1124672027 | Aparna Borole Dds, Inc. | Clinic/Center | 39572 Stevenson Pl Ste 227, Fremont, CA 94539-3113 | 2019-07-29 |
| 1326606476 | Andrea Salazar Dinh, D.d.s., Inc. | Clinic/Center | 2111 Parkside Dr Ste C, Fremont, CA 94536-5209 | 2019-06-04 |
| 1710441092 | Edwin Chicchon Dds Inc | Clinic/Center | 3200 Mowry Ave Ste D, Fremont, CA 94538-1510 | 2019-01-30 |
| Find all providers in FREMONT | ||||
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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.