Southcoast Dental, Pllc

NPI #1760189567 in Wareham, Massachusetts

Provider Information

NPI Number: 1760189567
Entity Type: Organization
Organization Name: Southcoast Dental, Pllc
Primary Specialty: Dentist
Enumeration Date: Feb 13, 2023
Last Updated: Feb 13, 2023

Practice Location

Address: 20 ROSEBROOK PL STE 2
City: Wareham
State: Massachusetts
ZIP Code: 02571-1567
Phone: (508) 203-8211

Authorized Official

Name: JAMES EDWIN KIEHL, DMD
Title: PRESIDENT
Phone: (508) 203-8211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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