Coppe, Michael Richard
Coppe, Michael Richard is an sole proprietor health care provider with primary practice located at 21 Muzzey St Ste 6 , Lexington MA 02421-5259. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Coppe, Michael Richard can be contacted via phone (781) 861-6120.Contact Information
Primary practice address
21 Muzzey St Ste 6
Lexington MA 02421-5259
Phone: (781) 861-6120
Fax: (781) 861-7856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 11347 | Massachusetts |
Profile Details
| NPI number | 1639264435 |
|---|---|
| LBN Legal business name | Coppe, Michael Richard |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | May 9th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639264435 | NPPES |
| Massachusetts | MEDICAID | 0207772 | |
| Massachusetts | Other | 524035 | |
| Massachusetts | Other | 380040 | |
| Massachusetts | Other | X12381 |
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