Provider Type Icon

JED M. KOOPS DMD LLC NPI 1558925487


NPI Information

NPI: 1558925487
Provider Name: JED M. KOOPS, DMD, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3690 ORANGE PL STE 515
BEACHWOOD, OH
ZIP 44122
Phone: (216) 464-2448
Get Directions

JED M. KOOPS, DMD, LLC is a dental clinic center in Beachwood, OH. JED M. KOOPS, DMD, LLC NPI is 1558925487. The provider is registered as an organization entity type.

The provider's business location address is:

3690 ORANGE PL STE 515
BEACHWOOD, OH
ZIP 44122-466
Phone: (216) 464-2448

The provider's authorized official is Jed Michael Koops .
The authorized official title is President and has the following contact phone number (440) 941-7824.

The enumeration date for this NPI number is 4/25/2019 and was last updated on 4/25/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

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: 4/28/2024

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.