Provider Demographics
NPI:1134276470
Name:KOPLIN, WILLIAM ROBERT (DDS, MSCD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ROBERT
Last Name:KOPLIN
Suffix:
Gender:M
Credentials:DDS, MSCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:76 EMMONS ST
Mailing Address - Street 2:P O BOX 451
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1911
Mailing Address - Country:US
Mailing Address - Phone:508-528-0528
Mailing Address - Fax:508-528-7064
Practice Address - Street 1:76 EMMONS ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1911
Practice Address - Country:US
Practice Address - Phone:508-528-0528
Practice Address - Fax:508-528-7064
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA109821223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics