| Coppe Pediatric Dentistry | |
|
19 Muzzey St Suite 6 Lexington MA 02421-5256 | |
| (781) 861-6120 | |
| Not Available |
| Full Name | Coppe Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19 Muzzey St, Lexington, Massachusetts |
| Authorized Official Name and Position | Carolyn Coppe (ACCOUNT MANAGER) |
| Authorized Official Contact | 7818616120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coppe Pediatric Dentistry 19 Muzzey Street Suite 6 Lexington MA 02421 Ph: (781) 861-6120 | Coppe Pediatric Dentistry 19 Muzzey St Suite 6 Lexington MA 02421-5256 Ph: (781) 861-6120 |
| NPI Number | 1154758084 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 01/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154758084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 11347 (Massachusetts) | Secondary |
| 261QD0000X | Clinic/center - Dental | 11347 (Massachusetts) | Primary |
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