Individual
DR. KEVIN COUGHLIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1795 MAIN ST, SPRINGFIELD, MA 01103-1077
(413) 733-6651
(413) 733-6653
Mailing address
1051 CONVERSE ST, LONGMEADOW, MA 01106-1718
(413) 567-8427
(413) 567-3770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15623
MA
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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