COOPER MOUNTAIN DENTAL LLC NPI 1154726917

NPI Information

  • NPI: 1154726917
  • Provider Name: COOPER MOUNTAIN DENTAL LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 11471 SW SCHOLLS FERRY RD
    BEAVERTON, OR
    ZIP 97008
  • Phone: (503) 356-1078

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NPI Details

COOPER MOUNTAIN DENTAL LLC is a general practice dentist in Beaverton, OR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. COOPER MOUNTAIN DENTAL LLC NPI is 1154726917. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11471 SW SCHOLLS FERRY RD
BEAVERTON, OR
ZIP 97008-168
Phone: (503) 356-1078

The provider's authorized official is Banu Ramkrishna .
The authorized official title is Owner Dentist and has the following contact phone number (503) 356-1078.

The enumeration date for this NPI number is 10/23/2014 and was last updated on 10/23/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD8822OREGONYes

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: 11/21/2025

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