| Coakley Family Dental, Llc | |
|
33 Electric Ave Suite 102 Fitchburg MA 01420-7954 | |
| (978) 343-3646 | |
| Not Available |
| Full Name | Coakley Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 33 Electric Ave, Fitchburg, Massachusetts |
| Authorized Official Name and Position | William John Coakley (OWNER) |
| Authorized Official Contact | 9783433646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coakley Family Dental, Llc 33 Electric Ave Suite 102 Fitchburg MA 01420-7954 Ph: (978) 343-3646 | Coakley Family Dental, Llc 33 Electric Ave Suite 102 Fitchburg MA 01420-7954 Ph: (978) 343-3646 |
| NPI Number | 1144692476 |
|---|---|
| Provider Enumeration Date | 10/26/2015 |
| Last Update Date | 10/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144692476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20549 (Massachusetts) | Primary |
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