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COOPER ORAL & MAXILLOFACIAL SURGERY PC NPI 1770606014


NPI Information

NPI: 1770606014
Provider Name: COOPER ORAL & MAXILLOFACIAL SURGERY, PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
207 TWENTY THIRD AVENUE NORTH
NASHVILLE, TN
ZIP 37203
Phone: (615) 320-1392
Get Directions

COOPER ORAL & MAXILLOFACIAL SURGERY, PC is an oral and maxillofacial surgery dentist in Nashville, TN. The provider is the specialty of dentistry which includes 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. COOPER ORAL & MAXILLOFACIAL SURGERY, PC NPI is 1770606014. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

207 TWENTY THIRD AVENUE NORTH
NASHVILLE, TN
ZIP 37203-501
Phone: (615) 320-1392
Fax: (615) 329-4245

The provider's authorized official is Lindsey W. Cooper .
The authorized official title is Owner/president and has the following contact phone number (615) 320-1392.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 10/13/2010.


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
11223S0112XDentistOral and Maxillofacial SurgeryDS3032TENNESSEENo
21223S0112XDentistOral and Maxillofacial SurgeryDS7219TENNESSEENo
31223S0112XDentistOral and Maxillofacial SurgeryDS4607TENNESSEENo
41223S0112XDentistOral and Maxillofacial Surgery3032TENNESSEEYes

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
13141185OTHERTENNESSEEBCBST SPENCER A HALEY
23223871MEDICARE PINTENNESSEE
32009819OTHERTENNESSEEBCBST LINDSEY W COOPER
4U74960MEDICARE UPINTENNESSEE
53223870MEDICARE ID-TYPE UNSPECIFIEDTENNESSEELINDSEY W COOPER
63226410MEDICARE ID-TYPE UNSPECIFIEDTENNESSEECOOPER & PROVENCE, PC
72006315OTHERTENNESSEEBCBST TIMOTHY D PROVENCE
8T74297MEDICARE UPINTENNESSEE
93226483MEDICARE ID-TYPE UNSPECIFIEDTENNESSEETIMOTHY D PROVENCE
103226504MEDICARE ID-TYPE UNSPECIFIEDTENNESSEESPENCER A HALEY

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.