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Michael Richard Coppe, DMD
Pediatric Dentist in Lexington, Massachusetts
NPI 1639264435

Michael Richard Coppe is a Pediatric Dentist based in Lexington, MA and is specialized in Pediatric Dentistry. Michael Richard Coppe practices in Lexington, MA and has the professional credentials of DMD. The NPI Number for Michael Richard Coppe is 1639264435 and holds a License No. 11347 (Massachusetts).

The current practice location address for Michael Richard Coppe is 21 Muzzey St Ste 6, Lexington, MA and can be reached out via phone at 781-861-6120 and via fax at 781-861-7856.

Location: 21 Muzzey St Ste 6, Lexington, MA, 02421-5259
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639264435
Provider Name
Michael Richard Coppe
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
21 Muzzey St Ste 6, Lexington, MA, 02421-5259
Phone Number
781-861-6120
Fax Number
781-861-7856
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0207772 05 MA
524035 01 MA TRICARE - TDP
380040 01 MA HARVARD PILGRIM HEALTH CA
X12381 01 MA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
21 Muzzey St Ste 6
City
Lexington
State
Massachusetts
Zip
02421-5259
Phone Number
781-861-6120
Fax Number
781-861-7856
person
Provider Business Mailing Address Details
Address
21 Muzzey St Ste 6
City
Lexington
State
Massachusetts
Zip
02421-5259
Phone Number
781-861-6120
Fax Number
781-861-7856
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
11347 (Massachusetts)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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