Provider Demographics
NPI:1306451992
Name:COELER, JOEL H (DDS)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:H
Last Name:COELER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 PHILAN CIR
Mailing Address - Street 2:
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-9241
Mailing Address - Country:US
Mailing Address - Phone:559-381-5983
Mailing Address - Fax:
Practice Address - Street 1:5040 CAROTHERS PKWY STE 101
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6020
Practice Address - Country:US
Practice Address - Phone:559-326-5272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-10
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1054861223G0001X
TN120221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice