Michael A Coppola is a Dentist in Blasdell, New York. Michael A Coppola practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael A Coppola is 1205050275. The last update date is 2007-07-08.
Michael A Coppola's current location address is 3720 South Park Avenue, Blasdell, New York. You can contact this provider via phone number 7168221118 and fax number 7168221119. The mailing address for Michael A Coppola is 3720 South Park Avenue, Blasdell, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael A Coppola |
|---|---|
| Address | 3720 South Park Avenue, Blasdell, New York |
| Phone Number | 7168221118 |
| Fax Number | 7168221119 |
| Sole Proprietor | N |
| Credentials | DMD PC |
NPI Number Detail
| NPI Number | 1205050275 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3720 South Park Avenue |
|---|---|
| City | Blasdell |
| State | New York (NY) |
| Post Code | 14219 |
| Phone Number | 7168221118 |
| Fax Number | 7168221119 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 41223 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Michael A Coppola by the Centers for Medicare & Medicaid Services?
The Michael A Coppola has been issued the NPI (National Provider Identifier) 1205050275 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Michael A Coppola located?
The Michael A Coppola is located at 3720 South Park Avenue, Blasdell, NY 14219.
What is Michael A Coppola's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael A Coppola's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205050275 to Michael A Coppola?
The Michael A Coppola received its 1205050275 assignment from the Centers for Medicare & Medicaid Services on 2007-04-12.
As of what date was the information pertaining to Michael A Coppola, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael A Coppola, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.