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Deactivated NPI 1497033708 Deactivated / Inactive NPI Male Practitioner

Dr. Frederick Coleman , DMD

Dentist • Oakland, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Frederick Coleman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 03, 2011
NPI Deactivation Date January 03, 2024
Total Practice Duration ~13 Years of Practice (2011 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Coleman, DMD was a registered Dentist practicing in Oakland, CA. Throughout an active medical career spanning 13 years, Dr. Coleman provided care at the practice location at 2923 WEBSTER ST until profile deactivation on 2024-01-03.

Practice Location & Contact Primary Location

Practice Address

2923 Webster St
Suite 302

Oakland, CA 946093409

Telephone 5107638051
Fax 5107638385
Associated Practice Facility / Clinic
🏢 Kaiser Permanente Facility NPI 1437438140

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Oakland, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
143 Specialists

Practicing in Oakland, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 26828

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Beth Cohen , MS

Audiologist

NPI 1477699189

Master of Science

Dr. Michelle Agazzi , DDS MSD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1548381502

DDSMSD

NPI 1821495136
NPI 1891831673

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 03, 2024

Record deactivated on January 03, 2024

NPI Profile Active August 03, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 03, 2011

Registered at 2923 WEBSTER ST, SUITE 302, OAKLAND, CA 946093409 (Tel: 5107638051)

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Updated Business Mailing Address August 03, 2011

Registered at 2923 WEBSTER ST, SUITE 302, OAKLAND, CA 946093409 (Tel: 5107638051)

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Provider Name / Credentials Updated August 03, 2011

Recorded as FREDERICK COLEMAN, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2011

Dentist (License #26828 in CA)

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Initial NPI Registration & Enumeration August 03, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497033708
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2011
Last Update: August 03, 2011
Deactivation Date: January 03, 2024

Mailing Address

2923 Webster St, Suite 302

Oakland, CA 946093409

Phone: 5107638051

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.