Clear Coast Dental PLLC
Dentist, General Practice in New Bedford, MA. Organization (NPI-2).
NPI number1972085306
StatusActive
Last updated in NPPESSep 1, 2018
Details
- NPI
- 1972085306
- Entity type
- Organization (NPI-2)
- Legal business name
- Clear Coast Dental PLLC
- Organization subpart
- No
- Enumeration date
- Sep 1, 2018
- Last updated
- Sep 1, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
906 Hathaway RoadNew Bedford, MA 02740
Phone 508-997-1030
Mailing address
454 E 8th Street Unit 3Boston, MA 02127
Authorized official
Michele Anderson
Executive Operations Assistant
8579282036
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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