KEVIN COPPELSON D.D.S. M.D. NPI 1225322019

NPI Information

  • NPI: 1225322019
  • Provider Name: KEVIN COPPELSON, D.D.S., M.D.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 10921 WILSHIRE BLVD STE 912
    LOS ANGELES, CA
    ZIP 90024
  • Phone: (310) 579-9710

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NPI Details

Kevin Coppelson, D.D.S., M.D. is an oral and maxillofacial surgery dentist in Los Angeles, CA. 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. Kevin Coppelson, D.D.S., M.D. NPI is 1225322019. 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:

10921 WILSHIRE BLVD STE 912
LOS ANGELES, CA
ZIP 90024
Phone: (310) 579-9710

The enumeration date for this NPI number is 6/8/2011 and was last updated on 10/31/2019.

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
11223S0112XDentistOral and Maxillofacial Surgery34607TEXASNo
2204E00000XOral & Maxillofacial Surgery157675CALIFORNIANo
3204E00000XOral & Maxillofacial Surgery34607TEXASNo
4390200000XStudent in an Organized Health Care Education/Training ProgramNo
51223S0112XDentistOral and Maxillofacial Surgery101077CALIFORNIAYes

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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