| Michael R Coppe Dmd | |
|
19 Muzzey St Suite 6 Lexington MA 02421-5256 | |
| (781) 861-6120 | |
| Not Available |
| Full Name | Michael R Coppe Dmd |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 19 Muzzey St, Lexington, Massachusetts |
| Authorized Official Name and Position | Michael Richard Coppe (DMD) |
| Authorized Official Contact | 7818616120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Coppe Dmd 19 Muzzey St Suite 6 Lexington MA 02421-5256 Ph: () - | Michael R Coppe Dmd 19 Muzzey St Suite 6 Lexington MA 02421-5256 Ph: (781) 861-6120 |
| NPI Number | 1255637195 |
|---|---|
| Provider Enumeration Date | 02/09/2011 |
| Last Update Date | 02/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255637195 | NPI | - | NPPES |
| 0207772 | Medicaid | MA | |
| 1639264435 | Other | MA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 11347 (Massachusetts) | Primary |
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