COAKLEY FAMILY DENTAL, LLC (NPI# 1144692476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144692476 |
| Entity Type | Organization |
| Organization Name | COAKLEY FAMILY DENTAL, LLC |
| Other Organization Name | WILLIAM J. COAKLEY, III, D.M.D. |
| Practice Address |
33 Electric Ave Suite 102 Fitchburg MA 01420-7954 |
| Practice Telephone | 9783433646 |
| Mailing Telephone | 9783433646 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |
| Authorized Official Name | DR. WILLIAM JOHN COAKLEY III (OWNER) |
| Authorized Official Telephone | 9783433646 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
20549 | MA | Dental Providers |
| Other Name | Type Code |
|---|---|
| William J. Coakley, III, D.M.D. | Former Legal Business Name - Organization |
| Street Address |
33 ELECTRIC AVE SUITE 102 |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420-7954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265429617 | John R. Bogdasarian | Otolaryngology | 33 Electric Ave, Fitchburg, MA 01420-7954 | 2005-09-30 |
| 1245743483 | Webster''s Coach, LLC | Non-emergency Medical Transport (VAN) | 33 Electric Ave, Fitchburg, MA 01420-7954 | 2017-11-09 |
| 1962954909 | Sondra Marie Cox | Social Worker | 33 Electric Ave, Unit B3, Fitchburg, MA 01420-7954 | 2016-10-25 |
| 1578949970 | Indra Lopez-sabina | Psychologist | 33 Electric Ave, Suite 3-b, Fitchburg, MA 01420-7954 | 2015-08-07 |
| 1265824940 | New Dawn Integrated Behavioral Health Center Inc. | Counselor | 33 Electric Ave, Suite3b, Fitchburg, MA 01420-7954 | 2015-03-04 |
| 1245620707 | Karen M Leblanc Md LLC | Psychiatry & Neurology | 33 Electric Ave, Suite 205, Fitchburg, MA 01420-7954 | 2015-02-04 |
| 1104240787 | Karen M Leblanc Md | Psychiatry & Neurology | 33 Electric Ave, Suite 205, Fitchburg, MA 01420-7954 | 2014-02-18 |
| 1215374178 | Ent Associates | Otolaryngology | 33 Electric Ave, Fitchburg, MA 01420-7954 | 2013-05-31 |
| 1194997999 | Alexander Henderson Webb | Counselor | 33 Electric Ave, Suite 205, Fitchburg, MA 01420-7954 | 2008-04-01 |
| 1144413329 | William John Coakley Jr. | Dentist | 33 Electric Ave, Fitchburg, MA 01420-7954 | 2007-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| Find all providers in zip 01420 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700251725 | Quirt Family Dentistry, Sc | Dentist | 5401 Caddis Bnd, Unit B, Fitchburg, WI 53711-7122 | 2015-12-02 |
| 1699141721 | Megan Elizabeth Oldridge | Dentist | 2960 Triverton Pike Dr Ste 104, Fitchburg, WI 53711-7514 | 2015-08-12 |
| 1033518428 | Derek M Levesque | Dentist | 26 Whalon St, Fitchburg, MA 01420-7138 | 2014-08-21 |
| 1760648927 | Harveen Bajwa | Dentist | 394 Water St, Fitchburg, MA 01420-5602 | 2008-08-06 |
| 1396916060 | Dininno Family Dental, Inc. | Dentist | 931 South St, Fitchburg, MA 01420-7019 | 2008-03-20 |
| 1730200098 | Jeffrey Sharkus | Dentist | 5950 Seminole Centre Ct, Fitchburg, WI 53711-5023 | 2007-04-03 |
| 1861517104 | Christopher Masse | Dentist | 1040 South St, Fitchburg, MA 01420-7028 | 2007-03-19 |
| 1083755748 | Patricia J Richardson | Dentist | 2945 Triverton Pike Dr Ste 100, Fitchburg, WI 53711-7509 | 2007-02-08 |
| 1871644393 | John Seaborn Sampson IIi | Dentist | 134 Summer St, Fitchburg, MA 01420-5869 | 2007-01-12 |
| 1336205699 | Edward Stephen Radivonyk Jr. | Dentist | 637 Main Street, Fitchburg, MA 01420-3107 | 2006-12-29 |
| Find all providers in FITCHBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.