Samuel Joseph Coppola JR. DDS

NPI 1457536567 - Dentist - 1223E0200X

NPI Details
NPI 1457536567
Gender Male
Enumeration Date 01/08/2008
Last Updated 06/17/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
82 COYLE STREET
PORTLAND ME, 04101, US
Phone (207) 775-4461
Fax
Business Location
82 COYLE STREET
PORTLAND ME, 04101, US
Phone (207) 775-4461
Fax
Toxanomy
Taxonomy Code 1223E0200X
License State Maine
License Number 2963
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According to our database, Samuel Joseph Coppola JR. DDS NPI is 1457536567, taxonomy code is 1223E0200X and license number is 2963, license state is located at Maine. Samuel Joseph Coppola JR. DDS physically located at 82 Coyle Street, Portland ME, 04101. NPI Number Samuel Joseph Coppola JR. DDS has the Individual type.

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1457536567 NPI number is provided on an as is basis without warranty of any kind. 1457536567 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Joseph Coppola JR. DDS are for informational purposes only.