Provider Demographics
NPI:1306142328
Name:COKER, WILLIAM STEPHEN (DMD, PA)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STEPHEN
Last Name:COKER
Suffix:
Gender:M
Credentials:DMD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 NW CARY PKWY STE 115
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8444
Mailing Address - Country:US
Mailing Address - Phone:919-380-9622
Mailing Address - Fax:919-380-9758
Practice Address - Street 1:3600 NW CARY PKWY STE 115
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-8444
Practice Address - Country:US
Practice Address - Phone:919-380-9622
Practice Address - Fax:919-380-9758
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-09
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6021122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC122300000XOtherTAXONOMY
NC1497772842OtherNPI CORPORATION ID
NC8991705Medicaid
NC204001886OtherTAX ID