Mark Allen Cooper is a Dentist in Clearlake, California. Mark Allen Cooper practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Allen Cooper is 1912926411. The last update date is 2007-07-08.
Mark Allen Cooper's current location address is 15525 Rumsey Rd, Clearlake, California. You can contact this provider via phone number 7079953252 and fax number 7079952254. The mailing address for Mark Allen Cooper is 15525 Rumsey Rd, Clearlake, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Allen Cooper |
|---|---|
| Address | 15525 Rumsey Rd, Clearlake, California |
| Phone Number | 7079953252 |
| Fax Number | 7079952254 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1912926411 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15525 Rumsey Rd |
|---|---|
| City | Clearlake |
| State | California (CA) |
| Post Code | 954229594 |
| Phone Number | 7079953252 |
| Fax Number | 7079952254 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 23996 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code issued to Mark Allen Cooper by the Centers for Medicare & Medicaid Services?
The Mark Allen Cooper has been assigned the NPI (National Provider Identifier) 1912926411 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Mark Allen Cooper?
The Mark Allen Cooper is physically situated at 15525 Rumsey Rd, in the city of Clearlake, state of CA, with the postal code 954229594.
What is the Mark Allen Cooper's area of specialization and corresponding taxonomy classification?
The Mark Allen Cooper's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When was the Mark Allen Cooper's 1912926411 issued?
The Mark Allen Cooper's 1912926411 was issued on 2006-07-18.
When was the information regarding Mark Allen Cooper, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Allen Cooper, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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