Todd T Cooley Dds in Mount Vernon - General Practice

Todd T Cooley Dds - NPI 1922173913

Todd T Cooley Dds is a General Practice in Mount Vernon, Washington. Todd T Cooley Dds practices all healthcare services and medical treatments related to General Practice. The NPI Number for Todd T Cooley Dds is 1922173913. The last update date is 2020-08-22.

Todd T Cooley Dds's current location address is 2124 Riverside Dr, Mount Vernon, Washington. You can contact this provider via phone number 3604248884 and fax number 3604241640. The mailing address for Todd T Cooley Dds is 2124 Riverside Dr, Mount Vernon, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Todd T Cooley Dds
Address 2124 Riverside Dr, Mount Vernon, Washington
Phone Number 3604248884
Fax Number 3604241640
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER DENT
Authorized Official Name Cooley Thomas Todd
Credentials DDS
Telephone Number 3604248884

NPI Number Detail

NPI Number 1922173913
Provider Enumeration Date 2006-11-22
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2124 Riverside Dr
City Mount Vernon
State Washington (WA)
Post Code 98273
Phone Number 3604248884
Fax Number 3604241640

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DE00010079
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5048459 WA --

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FAQs about Todd T Cooley Dds

What is the unique identifier code issued to Todd T Cooley Dds by the Centers for Medicare & Medicaid Services (CMS)?

The Todd T Cooley Dds has been assigned the NPI (National Provider Identifier) 1922173913. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Todd T Cooley Dds is physically located?

The Todd T Cooley Dds is situated at the following address: 2124 Riverside Dr, Mount Vernon, WA 98273.

What is the area of specialization for Todd T Cooley Dds, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Todd T Cooley Dds is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1922173913 to Todd T Cooley Dds?

The Centers for Medicare & Medicaid Services originally issued the 1922173913 to Todd T Cooley Dds on 2006-11-22.

As of what date were the details related to Todd T Cooley Dds most recently updated or revised?

The information pertaining to Todd T Cooley Dds, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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