John F. Coke, D.D.S.

Individual provider Active NPI General Practice Dentistry · Hanscom Afb, MA

NPI 1699748574 · NPPES record last updated Jul 29, 2009

Key facts

NPI
1699748574
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
042320 (NY)
Practice address
90 Vandenberg Dr
Hanscom Afb, MA 01731-2104
Phone
(781) 377-8028
Fax
(781) 377-3823
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
042320NYMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 042320 NY Yes

Addresses

Primary practice location

90 Vandenberg Dr
Hanscom Afb, MA 01731-2104

Mailing address

90 Vandenberg Dr
Hanscom Afb, MA 01731-2104
Phone (781) 377-8028

Other providers in Hanscom Afb, MA

All providers in Hanscom Afb, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.