David Fenton Cooley in Portage - General Practice
David Fenton Cooley - NPI 1952440356
David Fenton Cooley is a General Practice in Portage, Michigan. David Fenton Cooley practices all healthcare services and medical treatments related to General Practice. The NPI Number for David Fenton Cooley is 1952440356. The last update date is 2007-07-08.
David Fenton Cooley's current location address is 5108 Lovers Ln, Portage, Michigan. You can contact this provider via phone number 2693451021 and fax number 2693450948. The mailing address for David Fenton Cooley is 5108 Lovers Ln, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Fenton Cooley |
|---|---|
| Address | 5108 Lovers Ln, Portage, Michigan |
| Phone Number | 2693451021 |
| Fax Number | 2693450948 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1952440356 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5108 Lovers Ln |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490021558 |
| Phone Number | 2693451021 |
| Fax Number | 2693450948 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 96850 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 96850 | MI | MICHIGAN PROVIDER ID |
Post Comment/ Review Below
What is the David Fenton Cooley's unique identification number?
The David Fenton Cooley has been assigned the NPI (National Provider Identifier) Number 1952440356 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of David Fenton Cooley?
The David Fenton Cooley is physically situated at 5108 Lovers Ln, in the city of Portage, state of MI, with the postal code 490021558.
What is the David Fenton Cooley's area of specialization and corresponding taxonomy classification?
The David Fenton Cooley's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
When did David Fenton Cooley receive its 1952440356 assignment?
The David Fenton Cooley was assigned its 1952440356 on 2007-02-05, which is the date when this unique identifier was issued to the organization.
As of what date were the David Fenton Cooley's details last updated?
The information pertaining to the David Fenton Cooley, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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