Individual
SAMUEL JOSEPH COPPOLA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
82 COYLE STREET, PORTLAND, ME 04101
(207) 775-4461
Mailing address
82 COYLE STREET, PORTLAND, ME 04101
(207) 775-4461
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2963
ME
Other
Enumeration date
01/08/2008
Last updated
06/17/2014
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