COASTAL DENTAL SEEKONK, LLC (NPI# 1356850044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356850044 |
| Entity Type | Organization |
| Organization Name | COASTAL DENTAL SEEKONK, LLC |
| Practice Address |
21 Brook St Ste 8 Seekonk MA 02771-4504 |
| Practice Telephone | (508) 399-7073 |
| Mailing Telephone | 5083997073 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Authorized Official Name | JENNIFER KUCHAR (OWNER/DENTIST) |
| Authorized Official Telephone | 7739312196 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
21 BROOK ST STE 8 |
| City | SEEKONK |
| State | MA |
| Zip Code | 02771-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295258614 | Jorge Daniel Mejia | Dentist | 21 Brook St Ste 8, Seekonk, MA 02771-4504 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144673310 | Trinh Jean Nguyen Leu | Nurse Practitioner | 1479 Newman Avenue, Seekonk, MA 02771 | 2016-07-22 |
| 1386059665 | Mass Optometric Associates | Optometrist | 15 Highland Ave., Seekond, MA 02771 | 2014-06-25 |
| 1386987782 | Kylee A Campbell | Behavioral Analyst | 1573 Fall River Ave, Seekonk, MA 02771 | 2013-04-03 |
| 1841541141 | Ursula Mary Spont | Counselor | 1563 Fall River Ave Ste 7, Seekonk, MA 02771 | 2012-09-26 |
| 1780850925 | Jennifer Brown | Counselor | 1388 Fall River Ave, Seekonk, MA 02771 | 2008-05-07 |
| 1780705715 | Town of Seekonk | Local Education Agency (LEA) | 25 Water Lane, Seekonk, MA 02771 | 2007-04-03 |
| 1265566970 | Bayside Chiropractic, PC | Chiropractor | 73 Taunton Ave, Seekonk, MA 02771 | 2007-03-15 |
| 1942341144 | Orthodontic Centers of Ma Inc | Dentist | 23 Commerce Way, Seekonk, MA 02771 | 2007-02-09 |
| 1033277256 | Diane Decker Knasin | Counselor | 178 Lauren Drive, Seekonk, MA 02771 | 2006-12-04 |
| 1689742413 | Ho Y Woo | Acupuncturist | Acupuncture of Woo, Inc., 1563 Fall River Avenue, Seekonk, MA 02771 | 2006-12-01 |
| Find all providers in zip 02771 | ||||
| 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 |
|---|---|---|---|---|
| 1093939266 | John Peter Balamas | Dentist | 1332 Fall River Ave, Seekonk, MA 02771-5927 | 2007-04-12 |
| 1528165032 | Frank P Casarella Dmd PC | Dentist | 1484 Newman Ave, Seekonk, MA 02771 | 2006-09-19 |
| 1831606532 | Arul PC of Fall River | Dentist | 20 Commerce Way, Seekonk, MA 02771-5823 | 2018-01-03 |
| 1912425273 | Daniel Tracy | Dentist | 185 Highland Ave, Seekonk, MA 02771-5818 | 2017-09-06 |
| 1902264633 | Christina Piacquadio | Dentist | 520 Taunton Ave, Seekonk, MA 02771-3101 | 2016-02-09 |
| 1467730184 | Chirag Arvindbhai Patel | Dentist | 20 Commerce Way, Seekonk, MA 02771-5823 | 2011-07-29 |
| 1639463177 | Jennifer Marie Kuchar | Dentist | 185 Highland Ave, Southcoast Smiles, Seekonk, MA 02771 | 2011-06-01 |
| 1740433267 | Praveen R Banda | Dentist | 20 Commerce Way, Seekonk, MA 02771-5823 | 2008-10-28 |
| 1942460324 | Kenneth K Woo | Dentist | 1563 Fall River Ave, Seekonk, MA 02771-3736 | 2008-06-10 |
| 1184890345 | John P. Balamas,d.m.d.,p.c. | Dentist | 1332 Fall River Ave, Seekonk, MA 02771-5927 | 2008-05-07 |
| Find all providers in SEEKONK | ||||
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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.