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DR. BRUCE TYRE COOPER M.D. D.D.S. NPI 1710090758


NPI Information

NPI: 1710090758
Provider Name: DR. BRUCE TYRE COOPER, M.D., D.D.S.
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
12814 WILLOW CTR
SUITE B
HOUSTON, TX
ZIP 77066
Phone: (281) 453-5300
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DR. Bruce Tyre Cooper, M.D., D.D.S. is an oral and maxillofacial surgery dentist in Houston, TX. The provider is the specialty of dentistry which includes 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. DR. Bruce Tyre Cooper, M.D., D.D.S. NPI is 1710090758. 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:

12814 WILLOW CTR
SUITE B
HOUSTON, TX
ZIP 77066-038
Phone: (281) 453-5300
Fax: (281) 453-5302

The enumeration date for this NPI number is 8/16/2006 and was last updated on 7/8/2007.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery12953TEXASYes
2204E00000XOral & Maxillofacial SurgeryH2317TEXASX
3207Q00000XFamily MedicineH2317TEXASX
4207Q00000XFamily Medicine084143MICHIGANX
5208200000XPlastic SurgeryH2317TEXASX
6208200000XPlastic Surgery084143MICHIGANX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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.