KEVIN COPPOLA DDS NPI 1740662477

NPI Information

NPI: 1740662477
Provider Name: KEVIN COPPOLA, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

CLIA Number: 45D0939568

Address:
8606 VILLAGE DR STE B
SAN ANTONIO, TX
ZIP 78217
Phone: (210) 654-6882
Get Directions

Kevin Coppola, DDS is a pediatric dentistry dentist in San Antonio, TX. The provider is 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. Kevin Coppola, DDS NPI is 1740662477. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8606 VILLAGE DR STE B
SAN ANTONIO, TX
ZIP 78217
Phone: (210) 654-6882
Fax: (210) 654-0036

The CLIA number assigned to this NPI record is 45D0939568 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/18/2015 and was last updated on 10/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	30980	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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