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COASTAL DENTAL ASSOCIATES, LLC
NPI 1104214451
Dentist - General Practice in Fairhaven, MA

Active since January 08, 2015
118 ALDEN RD, FAIRHAVEN, MA 02719(508) 994-2255 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coastal Dental Associates, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL DENTAL ASSOCIATES, LLC (NPI 1104214451) is a healthcare organization registered as a general practice in Fairhaven, Massachusetts and active in the NPI registry since January 2015. The organization lists Jennifer Kuchar, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1104214451
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOASTAL DENTAL ASSOCIATES, LLC
Location Address118 ALDEN RDFairhaven, MA 02719-4721
Mailing Address118 Alden RdFairhaven, MA 02719-4721 · (508) 994-2255
Phone(508) 994-2255
Organization SubpartNo
Authorized OfficialJennifer KucharCo-owner · (773) 931-2196
Enumeration DateJanuary 8, 2015
✔ NPI 1104214451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
118 ALDEN RD, Fairhaven, MA 02719
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUSAN M CAMACHO DMD
Dentist
118 ALDEN RD
FAIRHAVEN, MA 02719
Bristol County (508) 994-2255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Dental Associates, LLC's NPI number?

The NPI number for Coastal Dental Associates, LLC is 1104214451. It was assigned to this organization in the NPPES registry on January 8, 2015.

Where is Coastal Dental Associates, LLC located?

Coastal Dental Associates, LLC is located at 118 Alden Rd, Fairhaven, MA 02719. The listed phone number is (508) 994-2255.

What is Coastal Dental Associates, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Coastal Dental Associates, LLC was last updated on January 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.