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Coleman and Dastrup PLLC

NPI 1649933490ActiveOrganization· Dentist, General Practice· Davidson, NC

Dentist, General Practice in Davidson, North Carolina, registered in NPPES in October 2021. The authorized official on file is Andrea Leight St-Cyr, Patient Coordinator.

Overview

NPI1649933490
StatusActive
Entity typeOrganization
NPI issuedOct 19, 2021
Last updated in NPPESOct 19, 2021
Certified by providerSep 28, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general dentists in Davidson

All general dentists in North Carolina