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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