Individual provider · Type 1 NPI

Charles Oakley Coulter, DDS

Pediatric Dentistry · Woodstock, GA

NPI number 1679697064 Active

Practice location

2230 Towne Lake Parkway, Building 1300 Suite 100
Woodstock, GA 30189

Fax (678) 445-5552

Mailing address

PO Box 195
Woodstock, GA 30188

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XDN013607 (GA)
Pediatric Dentistry 1223P0221XDEN1001274 (DC)
Pediatric Dentistry 1223P0221X0401414164 (VA)
Pediatric Dentistry 1223P0221X35438 (TX)
Pediatric Dentistry Primary 1223P0221X14922 (MD)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

10 other providers at this address

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About NPI 1679697064

Charles Oakley Coulter, DDS's National Provider Identifier is 1679697064, issued on Mar 19, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Woodstock, GA. The record was last updated on Dec 16, 2020.