KRISTOPHER COOPER DMD MD NPI 1265814784

NPI Information

Kristopher Cooper, DMD, MD is an oral and maxillofacial surgery dentist in Portland, ME. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Kristopher Cooper, DMD, MD NPI is 1265814784. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 COLLEGE ST
PORTLAND, ME
ZIP 04103-617
Phone: (207) 283-0171

The NPI 1265814784 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/20/2015 and was last updated on 9/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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