MEDICARE: COASTAL DENTAL ASSOCIATES II, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1316335656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COASTAL DENTAL ASSOCIATES II, LLC

Provider Business Mailing Address
First Line	:	7355 POST RD
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-3214
Country	:	US
Telephone Number	:	773-931-2196
Fax Number	:

Provider Business Practice Location Address
First Line	:	7355 POST RD
Second Line	:
City	:	NORTH KINGSTOWN
State	:	RI
Zip	:	02852-3214
Country	:	US
Telephone Number	:	773-931-2196
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	JENNIFER KUCHAR
Credential	:	DMD
Telephone Number	:	773-931-2196

Provider Enumeration Date	:	01/08/2015
Last Update Date	:	01/08/2015

Similar Medicare Providers

1033114640 — DR. ROGER M TURKEL DDS
Practice Location Address:

7355 POST RD
NORTH KINGSTOWN, RI
02852-3214

Practice Phone: 401-294-4587
Practice Fax: 401-294-9198

1871955070 — HILLARY CATHLEEN GREENE FNP, RN
Practice Location Address:

1 RIVER ST
SOUTH KINGSTOWN, RI
02879-3214

Practice Phone: 401-783-5646
Practice Fax:

1003309618 — JOEY NAPOLITANO
Practice Location Address:

1 RIVER ST
SOUTH KINGSTOWN, RI
02879-3214

Practice Phone: 386-212-8904
Practice Fax:

1447739545 — PREMISE HEALTH OF GEORGIA MEDICAL PC
Practice Location Address:

1122 NORTH ST W
VIDALIA, GA
30474-3214

Practice Phone: 912-537-8488
Practice Fax: 912-537-7303

1215983010 — MRS. JACQUELYN H WELLS LCSW
Practice Location Address:

923 W WOODLAWN AVE
NORTH AUGUSTA, SC
29841-3214

Practice Phone: 803-279-6665
Practice Fax:

1679594949 — SYNERGY WELLNESS SOLUTIONS
Practice Location Address:

4491 SUMMEY ST
NORTH CHARLESTON, SC
29405-3214

Practice Phone: 843-727-3589
Practice Fax:

Directions to “COASTAL DENTAL ASSOCIATES II, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.