LONNITA LOUISE COULTER D.D.S.
NPI 1104345958
Dentist - General Practice in Detroit, MI

Q: What is Lonnita Coulter's NPI number?

The NPI number for Lonnita Coulter is 1104345958. It was assigned to this individual provider in the NPPES registry on September 13, 2017.

Q: What is Lonnita Coulter's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Lonnita Coulter was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 13, 2017

4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Dec 1, 2017, Sep 13, 2017 (3 updates tracked since 2017).

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About Lonnita Louise Coulter D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONNITA LOUISE COULTER D.D.S. (NPI 1104345958) is an individual general practice provider in Detroit, Michigan, licensed in Michigan (2901022495) and active in the NPI registry since September 2017. She maintains a secondary practice location in Southfield.

NPPES Registry Identity

NPI1104345958

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameLONNITA LOUISE COULTERCredential: D.D.S.

Location Address4646 JOHN R STDetroit, MI 48201-1916

Mailing Address10028 Allen Pointe DrAllen Park, MI 48101-1785

Phone(313) 576-1000

Sole ProprietorNo

Enumeration DateSeptember 13, 2017

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1104345958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901022495

Definition

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.

4646 JOHN R ST, Detroit, MI 48201

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Secondary Practice Location 1

Location 116800 W 12 Mile Rd Ste 103Southfield, MI 48076-6335 · Phone (248) 443-5371

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YURIJ CHERSTYLO

Student in an Organized Health Care Education/Training Program