IndividualActive
Charles Coulter, DDS
NPI 1679697064 · Pediatric Dentistry · Woodstock, GA
Provider details
- NPI number
- 1679697064
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DN013607 (GA)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Practice location
2230 Towne Lake Parkway
Building 1300 Suite 100
Woodstock, GA 30189
Phone: (678) 445-5444
Fax: (678) 445-5552
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 195
Woodstock, GA 30188
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2020-12-16
- Certified
- 2020-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.