COASTAL DENTAL ASSOCIATES III, LLC (NPI# 1831587260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831587260 |
| Entity Type | Organization |
| Organization Name | COASTAL DENTAL ASSOCIATES III, LLC |
| Practice Address |
20 Clinton Ave Jamestown RI 02835-1204 |
| Practice Telephone | 4014232110 |
| Practice Fax Number | 4014239224 |
| Mailing Telephone | 4014232110 |
| Mailing Fax Number | 4014239224 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |
| Authorized Official Name | JENNIFER KUCHAR (CO-OWNER) |
| 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 |
RI | Dental Providers |
| Street Address |
20 CLINTON AVE |
| City | JAMESTOWN |
| State | RI |
| Zip Code | 02835-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710014063 | John Richard Bush | Dentist | 20 Clinton Ave, Jamestown, RI 02835 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637226 | Mcquade's Jamestown Pharmacy, LLC | Pharmacy | 6 Clarke St, Jamestown, RI 02835 | 2019-09-06 |
| 1790879120 | William Francis Varr Jr. | Anesthesiology | 53conanicus Ave., #4a, Jamestown, RI 02835 | 2006-10-02 |
| 1710015383 | Jamestown School Department | Local Education Agency (LEA) | 76 Melrose Ave, Jamestown, RI 02835-1005 | 2007-03-02 |
| 1629248216 | Island Therapy, LLC | Contractor | 76 Melrose Ave, Jamestown, RI 02835-1005 | 2008-03-10 |
| 1932383122 | Robin Shaw | Physical Therapist | 76 Melrose Ave, Jamestown, RI 02835-1005 | 2007-12-24 |
| 1609904275 | Jamestown School Department | Local Education Agency (LEA) | 76 Melrose Ave, Jamestown, RI 02835-1005 | 2007-03-02 |
| 1306938519 | Baker's Pharmacy of Jamestown, Inc | Pharmacy | 53 Narragansett Ave, Jamestown, RI 02835-1100 | 2006-09-28 |
| 1609873843 | Kathryn N. Westall | Nurse Practitioner | 20 Southwest Ave, Jamestown, RI 02835-1120 | 2005-07-01 |
| 1255714572 | Grace Stephan | Family Medicine | 20 Southwest Ave, Jamestown, RI 02835-1120 | 2015-07-06 |
| 1629097506 | Kenneth Wells | Family Medicine | 20 Southwest Ave, Jamestown, RI 02835-1120 | 2006-07-19 |
| Find all providers in zip 02835 | ||||
| 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 |
|---|---|---|---|---|
| 1871024513 | Mountain People's Health Councils, Inc | Dentist | 104 Reagan Ave, Jamestown, TN 38556 | 2017-03-24 |
| 1275960312 | Sisco Family Dentistry | Dentist | 240 Central Ave. West, Jamestown, TN 38556-0884 | 2013-10-03 |
| 1659646487 | Jeffrey Frank Kocher | Dentist | 18259 Main St, Jamestown, CA 95327-9251 | 2012-03-12 |
| 1437354313 | Christopher Michael Francese | Dentist | 796 Fairmount Ave, Jamestown, NY 14701-2517 | 2007-06-19 |
| 1811191695 | Timothy Harrison Sinner | Dentist | 1209 5th Ave Se, Jamestown, ND 58401-5601 | 2007-06-13 |
| 1487870473 | James Michael Puckett | Dentist | 800 W Main St Ste B, Jamestown, NC 27282-8830 | 2007-04-18 |
| 1821114307 | Daniel T Welsh | Dentist | 4 Glidden Ave, Jamestown, NY 14701-4320 | 2007-03-22 |
| 1407989551 | Madelinne Kay Perry | Dentist | 5200 Mackay Rd, Jamestown, NC 27282-9762 | 2007-03-14 |
| 1174619746 | Ronald Ray Beshears | Dentist | 720 West Main Street, Suite B, Jamestown, NC 27282 | 2006-10-04 |
| 1114025533 | Kimberly Rae Meabon | Dentist | 400 W 5th St, Jamestown, NY 14701-4811 | 2006-09-20 |
| Find all providers in JAMESTOWN | ||||
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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.