Coakley Family Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20549 Issued in MA

Legal business name

COAKLEY FAMILY DENTAL, LLC

Practice address

33 Electric Ave
Suite 102
Fitchburg, MA 01420-7954

Phone

(978) 343-3646

NPI assigned

Oct 26, 2015

Last updated

Oct 26, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William John Coakley III, D.M.D.

Title

Owner

Phone

(978) 343-3646

Specialties & licenses 1

Addresses

Other names 1

• William J. Coakley, III, D.M.D. Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1144692476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ELECTRIC AVE",
            "address_2": "SUITE 102",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207954",
            "telephone_number": "978-343-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ELECTRIC AVE",
            "address_2": "SUITE 102",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014207954",
            "telephone_number": "978-343-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAKLEY FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "COAKLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-343-3646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William J. Coakley, III, D.M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Iris Y Clarke
• Clear Choice Collections
• Cleghorn Professional Counseling Center
• Cleghorn Professional Counseling Center
• Client Connect Transportation
• William John Coakley Jr., DMD
• Hannah M. Coates, M.D.
• Jacqueline Cobb, B.A.; M.A.
• Kandace Coe
• Cheryl Glendell Cole, M.ED.

• General Practice Dentistry in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.