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COAKLEY FAMILY DENTAL LLC NPI 1144692476


NPI Information

NPI: 1144692476
Provider Name: COAKLEY FAMILY DENTAL, LLC

Former Legal Business Name: WILLIAM J. COAKLEY, III, D.M.D.

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
33 ELECTRIC AVE
SUITE 102
FITCHBURG, MA
ZIP 01420
Phone: (978) 343-3646
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COAKLEY FAMILY DENTAL, LLC is a general practice dentist in Fitchburg, MA. The provider is 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. COAKLEY FAMILY DENTAL, LLC NPI is 1144692476. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is William J. Coakley, Iii, D.m.d..

The provider's business location address is:

33 ELECTRIC AVE
SUITE 102
FITCHBURG, MA
ZIP 01420-954
Phone: (978) 343-3646

The provider's authorized official is William John Coakley .
The authorized official title is Owner and has the following contact phone number (978) 343-3646.

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


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice20549MASSACHUSETTSYes

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

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