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NATHAN C COONEY DDS PC NPI 1417463308


NPI Information

NPI: 1417463308
Provider Name: NATHAN C COONEY DDS PC

Doing Business As: COONEY FAMILY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1792 W 1700 S STE 203
SYRACUSE, UT
ZIP 84075
Phone: (801) 779-6037
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NATHAN C COONEY DDS PC is a general practice dentist in Syracuse, UT. 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. NATHAN C COONEY DDS PC NPI is 1417463308. The provider is registered as an organization entity type.
The provider Is Doing Business As Cooney Family Dental.

The provider's business location address is:

1792 W 1700 S STE 203
SYRACUSE, UT
ZIP 84075-651
Phone: (801) 779-6037
Fax: (801) 820-2774

The provider's authorized official is Elise Nicole Van Tassell .
The authorized official title is Office Manager and has the following contact phone number (801) 779-6037.

The enumeration date for this NPI number is 12/14/2017 and was last updated on 12/14/2017.


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/CenterDentalNo
21223G0001XDentistGeneral Practice8028926UTAHYes

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
11619263894MEDICAIDUTAH

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

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