MR. ROBERT BRUCE COOPER, DDS - NPI NUMBER 1568511699

Summary

Provider Name: MR. ROBERT BRUCE COOPER, DDS

NPI Number: 1568511699

Clasification: Dentist (122300000X)

Address:
200 N 15TH STREET
OAKDALE, LA
ZIP 71463

Phone Number: (318) 335-0530



Detailed Information

MR. Robert Bruce Cooper, DDS is a dentist in Oakdale, LA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. The assigned NPI number for this provider is 1568511699 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

200 N 15TH STREET
OAKDALE, LA
ZIP 71463
Phone: (318) 335-0530
Fax: (318) 335-4326

The enumeration date for this NPI number is 1/9/2007 and was last updated on 7/8/2007.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1912043670 DR. PAULA ELIZABETH KARAM, D.D.S.
Dentist (General Practice)
1952437014 DR. RICHARD EUGENE BACON, D.D.S.
Dentist (General Practice)





Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 122300000X Dentist 3130 LA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 1831301 MEDICAID LA

NPI Record

No. Field Name Field Value
1 NPI 1568511699
2 Entity Type Code 1
3 Provider Last Name Legal Name COOPER
4 Provider First Name ROBERT
5 Provider Middle Name BRUCE
6 Provider Name Prefix Text MR.
7 Provider Credential Text DDS
8 Provider First Line Business Practice Location Address 200 N 15TH STREET
9 Provider Business Practice Location Address City Name OAKDALE
10 Provider Business Practice Location Address State Name LA
11 Provider Business Practice Location Address Postal Code 71463
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 3183350530
14 Provider Business Practice Location Address Fax Number 3183354326
15 Provider Enumeration Date 1/9/2007
16 Last Update Date 7/8/2007
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 122300000X
19 Provider License Number 1 3130
20 Provider License Number State Code 1 LA
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 1831301
23 Other Provider Identifier Type Code 1 05
24 Other Provider Identifier State 1 LA
25 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.