KRISTOPHER COOPER DMD MD NPI 1265814784

NPI Information

  • NPI: 1265814784
  • Provider Name: KRISTOPHER COOPER, DMD, MD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 COLLEGE ST
    PORTLAND, ME
    ZIP 04103
  • Phone: (207) 283-0171

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NPI Details

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).

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryDS040600PENNSYLVANIANo
21223S0112XDentistOral and Maxillofacial SurgeryDEN4712MAINEYes

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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