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Active NPI 1518050376 Individual Practitioner Male Practitioner

Efrain Coronado

Dentist - General Practice • Tucker, GA

Professional Overview & Biography Verified Profile Summary

Efrain Coronado is a registered healthcare professional specializing in Dentist - General Practice in Tucker, GA. Practice services are available at 4280 LAVISTA RD STE C117 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4280 Lavista Rd Ste C117

Tucker, GA 300845315

Telephone 6786884811
Fax 4048554913
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tucker, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
31 Specialists

Practicing in Tucker, GA (3302 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

CMS Verified: 2022-10-31
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN015888

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License FL DN14839

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

13889 Wellington Trace

Wellington, FL 33414

Phone: 5617958900

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Adam Merriam , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1174834048

Doctor of Dental Surgery

Dr. Cheryl Snyder , DDS

Dentist - General Practice

NPI 1366755159

Doctor of Dental Surgery

Dr. Christopher Pesut , DMD

Dentist - Periodontics

NPI 1902352149

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 31, 2022

Registered at 4280 LAVISTA RD STE C117, TUCKER, GA 300845315 (Tel: 6786884811)

📍
Updated Business Mailing Address October 31, 2022

Registered at 4280 LAVISTA RD STE C117, TUCKER, GA 300845315 (Tel: 6786884811)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 13889 WELLINGTON TRACE, WELLINGTON, FL 33414 (Tel: 5617958900)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2226 WEST ATLANTIC AVE, SUITE W, DELRAY BEACH, FL 33445 (Tel: 5613308330)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EFRAIN CORONADO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN14839 in FL)

🟢
Initial NPI Registration & Enumeration October 02, 2006

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: 1518050376
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: October 31, 2022
Sole Proprietor: No

Mailing Address

4280 Lavista Rd Ste C117

Tucker, GA 300845315

Phone: 6786884811

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.