NPI 1144692476

Coakley Family Dental, LLC

Organisation General Practice Dentistry Fitchburg, MA

Practice location

Address: 33 Electric Ave Suite 102, Fitchburg, MA 01420-7954
Phone: (978) 343-3646

Authorised official

Name: William John Coakley
Title: Owner
Phone: (978) 343-3646

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 20549 (MA)

Other Dentist providers in Massachusetts →

Registry record

NPI: 1144692476
Entity type: Organization
NPI issued: 26 Oct 2015
Record last updated: 26 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.