Coppe Pediatric Dental LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

COPPE PEDIATRIC DENTAL LLC

Practice address

21 Muzzey St Ste 5
Lexington, MA 02421-5259

Phone

(781) 861-6120

NPI assigned

Dec 19, 2013

Organization subpart

No

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

Authorized official

Name

Carolyn CoppeNPI 1881863710

Title

Dentist/Owner

Phone

(781) 861-6120

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn M Coppe, D.M.D

  • Pediatric Dentistry
  • Lexington, MA
  • NPI 1881863710
  NPD Authorized official

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1558782409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MUZZEY ST STE 5",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215259",
            "telephone_number": "781-861-6120",
            "fax_number": "781-861-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MUZZEY ST STE 5",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215259",
            "telephone_number": "781-861-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPE PEDIATRIC DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "COPPE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "781-861-6120"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Coon-Wallman, PSY.D.
• Cooperative Elder Services, Inc.
• Cooperative for Human Services, Inc.
• Janaisha Diyanie Copeland Delcompare
• Jennifer K Coplon, LICSW
• Coppe Pediatric Dentistry
• Carolyn M Coppe, D.M.D
• Michael Richard Coppe, D.M.D.
• Kelly Corbett
• Astrid C Cordero, MA CCC SLP

• Pediatric Dentistry in Lexington, MA
• Providers in Lexington, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.