Coakley Family Dental, LLC
NPI #1144692476 in Fitchburg, Massachusetts
Provider Information
- NPI Number
- 1144692476
- Entity Type
- Organization
- Organization Name
- Coakley Family Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 26, 2015
- Last Updated
- Oct 26, 2015
Practice Location
- Address
- 33 ELECTRIC AVE
- Address 2
- SUITE 102
- City
- Fitchburg
- State
- Massachusetts
- ZIP Code
- 01420-7954
- Phone
- (978) 343-3646
Authorized Official
- Name
- DR. WILLIAM JOHN COAKLEY III, D.M.D.
- Title
- OWNER
- Phone
- (978) 343-3646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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