Provider Type Icon

COOPERMAN FAMILY DENTISTRY PLLC NPI 1417445099


NPI Information

NPI: 1417445099
Provider Name: COOPERMAN FAMILY DENTISTRY PLLC

Doing Business As: BENJAMIN COOPERMAN DMD

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
25101 N LAKE PLEASANT PKWY # B-1335
PEORIA, AZ
ZIP 85383
Phone: (480) 324-6457
Get Directions

COOPERMAN FAMILY DENTISTRY PLLC is a dental clinic center in Peoria, AZ. COOPERMAN FAMILY DENTISTRY PLLC NPI is 1417445099. The provider is registered as an organization entity type.
The provider Is Doing Business As Benjamin Cooperman Dmd.

The provider's business location address is:

25101 N LAKE PLEASANT PKWY # B-1335
PEORIA, AZ
ZIP 85383-386
Phone: (480) 324-6457
Fax: (480) 680-0921

The provider's authorized official is Benjamin Peter Cooperman .
The authorized official title is Owner and has the following contact phone number (480) 324-6457.

The enumeration date for this NPI number is 4/29/2018 and was last updated on 4/29/2018.


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
1261QD0000XClinic/CenterDental9640ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11225412950OTHERARIZONANPI TYPE1

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.