Roderick Sampson Cooper in Hazelwood - General Practice
Roderick Sampson Cooper - NPI 1831109149
Roderick Sampson Cooper is a General Practice in Hazelwood, Missouri. Roderick Sampson Cooper practices all healthcare services and medical treatments related to General Practice. The NPI Number for Roderick Sampson Cooper is 1831109149. The last update date is 2009-07-23.
Roderick Sampson Cooper's current location address is 7934 N Lindbergh Blvd, Hazelwood, Missouri. You can contact this provider via phone number 3148318086 and fax number 3148319563. The mailing address for Roderick Sampson Cooper is 7934 N Lindbergh Blvd, Hazelwood, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roderick Sampson Cooper |
|---|---|
| Address | 7934 N Lindbergh Blvd, Hazelwood, Missouri |
| Phone Number | 3148318086 |
| Fax Number | 3148319563 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1831109149 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2009-07-23 |
Provider Mailing Address Detail
| Address | 7934 N Lindbergh Blvd |
|---|---|
| City | Hazelwood |
| State | Missouri (MO) |
| Post Code | 630423521 |
| Phone Number | 3148318086 |
| Fax Number | 3148319563 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12010881A |
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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 |
|---|---|---|---|
| 100251550A | IN | -- | |
| 12010881A | IN | DENTAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Roderick Sampson Cooper by the Centers for Medicare & Medicaid Services?
The Roderick Sampson Cooper has been issued the NPI (National Provider Identifier) 1831109149 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Roderick Sampson Cooper's physical address?
The Roderick Sampson Cooper is physically located at 7934 N Lindbergh Blvd, in the city of Hazelwood, MO, with the postal code 630423521.
What is Roderick Sampson Cooper's specialized field of practice, and what is the corresponding taxonomy classification code?
The Roderick Sampson Cooper's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1831109149 to Roderick Sampson Cooper?
The Centers for Medicare & Medicaid Services originally issued the 1831109149 to Roderick Sampson Cooper on 2006-08-09.
When was the information regarding Roderick Sampson Cooper most recently updated?
The details pertaining to the Roderick Sampson Cooper, including its address, specialty, and other relevant information, were last refreshed on 2009-07-23.