Active NPIOrganization

Coakley Family Dental, LLC

Dentist, General Practice in Fitchburg, Massachusetts

NPI Number1144692476
Practice location
33 Electric Ave, Suite 102, Fitchburg, MA 01420-7954
Fax
—
Last updated
October 26, 2015

Coakley Family Dental, LLC is a healthcare organization based in Fitchburg, MA. Coakley Family Dental, LLC practices in Fitchburg, MA. The NPI Number for Coakley Family Dental, LLC is 1144692476 and holds a License No. 20549 (MA). The current practice location address for Coakley Family Dental, LLC is 33 Electric Ave, Suite 102, Fitchburg, MA 01420-7954 and can be reached out via phone at 978-343-3646.

Provider Profile Details

NPI Number
1144692476
Provider Name
Coakley Family Dental, LLC
Provider Entity Type
Organization
Address
33 Electric Ave, Suite 102, Fitchburg, MA 01420-7954
Phone Number
978-343-3646
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. William John Coakley, DMD · Owner · 978-343-3646
Other Names
William J. Coakley, III, D.m.d. (Former Legal Business Name)
Provider Enumeration Date
October 26, 2015
Last Update Date
October 26, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Electric Ave
Suite 102
Fitchburg, MA 01420-7954
Zip
01420-7954
Phone Number
978-343-3646
Fitchburg, MA 01420Get directions →

Provider Business Mailing Address Details

Address
33 Electric Ave
Suite 102
Fitchburg, MA 01420-7954
City
Fitchburg
State
MA
Zip
01420-7954
Phone Number
978-343-3646

License Information

License Number
20549
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Coakley Family Dental, LLC?

The NPI number of Coakley Family Dental, LLC is 1144692476. It was assigned on October 26, 2015 and is currently active in the NPPES registry.

What is the specialty of Coakley Family Dental, LLC?

Coakley Family Dental, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 20549.

Where does Coakley Family Dental, LLC practice?

The practice location is 33 Electric Ave, Suite 102, Fitchburg, MA 01420-7954. The office can be reached at 978-343-3646 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144692476 directly on the NPPES registry website.

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