Lawrence Coulter

Individual provider Active NPI General Practice Dentistry · Wellfleet, MA

NPI 1013165232 · NPPES record last updated Sep 6, 2026

Key facts

NPI
1013165232
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
9587 (MA)
Practice address
88 Cottontail Rd
Wellfleet, MA 02667-8014
Phone
(508) 349-6471
NPI assigned
Aug 29, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9587 MA Yes

Addresses

Primary practice location

88 Cottontail Rd
Wellfleet, MA 02667-8014

Mailing address

88 Cottontail Rd
Wellfleet, MA 02667-8014

Other providers in Wellfleet, MA

All providers in Wellfleet, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.