National Provider Identifier
Michael A Coppola, DMD PC
Michael A Coppola, DMD PC is listed in the NPPES registry with a primary specialty of Dentist in Blasdell, NY and a listed phone number of (716) 822-1118.
Profile Overview
- NPI
- 1205050275
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- April 12, 2007
- Last Updated
- July 08, 2007
Practice Location
- 3720 South Park Avenue
- Blasdell, NY 14219
Phone: (716) 822-1118
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1205050275
- Entity Type
- Individual
- Last Name
- Coppola
- First Name
- Michael
- Middle Name
- A
- Name Prefix
- Dr.
- Credential
- DMD PC
- Mailing Street Address
- 3720 South Park Avenue
- Mailing City
- Blasdell
- Mailing State
- NY
- Mailing ZIP Code
- 14219
- Mailing Country
- US
- Mailing Phone
- (716) 822-1118
- Mailing Fax
- (716) 822-1119
- Practice Street Address
- 3720 South Park Avenue
- Practice City
- Blasdell
- Practice State
- NY
- Practice ZIP Code
- 14219
- Practice Country
- US
- Practice Phone
- (716) 822-1118
- Practice Fax
- (716) 822-1119
- Enumeration Date
- April 12, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)