J Selig Cooper Dds Pa in Greensboro - Dentist

J Selig Cooper Dds Pa - NPI 1710056635

J Selig Cooper Dds Pa is a Dentist in Greensboro, North Carolina. J Selig Cooper Dds Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for J Selig Cooper Dds Pa is 1710056635. The last update date is 2008-05-15.

J Selig Cooper Dds Pa's current location address is 1515 Yanceyville St, Greensboro, North Carolina. You can contact this provider via phone number 3365105813 and fax number 3365105812. The mailing address for J Selig Cooper Dds Pa is 1515 Yanceyville St, Greensboro, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization J Selig Cooper Dds Pa
Address 1515 Yanceyville St, Greensboro, North Carolina
Phone Number 3365105813
Fax Number 3365105812
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST PR
Authorized Official Name Cooper Selig Javon
Credentials DDS
Telephone Number 3365105813

NPI Number Detail

NPI Number 1710056635
Provider Enumeration Date 2006-11-07
Last Updated Date 2008-05-15

Provider Mailing Address Detail

Address 1515 Yanceyville St
City Greensboro
State North Carolina (NC)
Post Code 274056958
Phone Number 3365105813
Fax Number 3365105812

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 6552
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9002F NC BCBSNC PROVIDER #
799002F NC --

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FAQs about J Selig Cooper Dds Pa

What is the unique 10-digit identifier code issued to J Selig Cooper Dds Pa by the Centers for Medicare & Medicaid Services?

The J Selig Cooper Dds Pa has been assigned the NPI (National Provider Identifier) 1710056635 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where J Selig Cooper Dds Pa's facilities are situated?

The facilities of J Selig Cooper Dds Pa are physically located at the following address: 1515 Yanceyville St, Greensboro, NC, 274056958.

What is J Selig Cooper Dds Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for J Selig Cooper Dds Pa is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did the J Selig Cooper Dds Pa receive the assignment of its 1710056635 from the Centers for Medicare & Medicaid Services?

The J Selig Cooper Dds Pa was issued its 1710056635 by the Centers for Medicare & Medicaid Services on 2006-11-07.

As of what date were the J Selig Cooper Dds Pa's details last updated?

The information pertaining to the J Selig Cooper Dds Pa, including its address, specialty, and other details, was most recently updated on 2008-05-15.

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