COOPER PROVENCE & HALEY PC NPI 1851412811

NPI Information

NPI: 1851412811
Provider Name: COOPER, PROVENCE & HALEY, PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
207 23RD AVE N
NASHVILLE, TN
ZIP 37203
Phone: (615) 320-1392
Get Directions

COOPER, PROVENCE & HALEY, 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, PROVENCE & HALEY, PC NPI is 1851412811. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

207 23RD AVE N
NASHVILLE, TN
ZIP 37203-501
Phone: (615) 320-1392
Fax: (615) 329-4245

The provider's authorized official is Spencer A Haley .
The authorized official title is Vice President and has the following contact phone number (615) 320-1392.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 5/19/2008.

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
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DS3032	TENNESSEE	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DS4607	TENNESSEE	No
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DS7219	TENNESSEE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T74297	MEDICARE UPIN	TENNESSEE
2	3223870	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	LINDSEY W. COOPER, SR
3	2006315	OTHER	TENNESSEE	BCBST TIMOTHY D PROVENCE
4	7219	OTHER	TENNESSEE	LICENSE SPENCER HALEY
5	U29514	MEDICARE UPIN	TENNESSEE
6	3226504	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	DR SPENCER A HALEY
7	3636483	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	TIMOTHY D. PROVENCE
8	3226504	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	COOPER & PROVENCE, PC
9	1043218670	OTHER	TENNESSEE	NPI LINDSEY W. COOPER,
10	4607	OTHER	TENNESSEE	LICENSE TIMOTHY PROVENCE
11	2009819	OTHER	TENNESSEE	BCBST LINDSEY W. COOPER
12	1982601829	OTHER	TENNESSEE	NPI TIMOTHY D. PROVENCE
13	1275531972	OTHER	TENNESSEE	NPI - SPENCER A HALEY
14	3032	OTHER	TENNESSEE	LICENSE # LINDSEY W. COOP
15	U74960	MEDICARE UPIN	TENNESSEE
16	3141185	OTHER	TENNESSEE	BCBST SPENCER 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

NPI Synchronization or Removal

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