Sean A Cooper is a Pediatric Dentistry in Salem, Oregon. Sean A Cooper practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Sean A Cooper is 1457376782. The last update date is 2012-04-26.
Sean A Cooper's current location address is 1105 12th St Se, Salem, Oregon. You can contact this provider via phone number 5033635865 and fax number 5033638510. The mailing address for Sean A Cooper is 1105 12th St Se, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sean A Cooper |
|---|---|
| Address | 1105 12th St Se, Salem, Oregon |
| Phone Number | 5033635865 |
| Fax Number | 5033638510 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1457376782 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2012-04-26 |
Provider Mailing Address Detail
| Address | 1105 12th St Se |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973022810 |
| Phone Number | 5033635865 |
| Fax Number | 5033638510 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D7375 |
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Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 150611 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Sean A Cooper by the Centers for Medicare & Medicaid Services (CMS)?
The Sean A Cooper has been assigned the NPI (National Provider Identifier) 1457376782. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Sean A Cooper's facilities are situated?
The facilities of Sean A Cooper are physically located at the following address: 1105 12Th St Se, Salem, OR, 973022810.
What is Sean A Cooper's area of expertise and its corresponding taxonomy classification?
The Sean A Cooper's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
On what date did the Sean A Cooper receive the assignment of its 1457376782 from the Centers for Medicare & Medicaid Services?
The Sean A Cooper was issued its 1457376782 by the Centers for Medicare & Medicaid Services on 2006-07-13.
As of what date were the Sean A Cooper's details last updated?
The information pertaining to the Sean A Cooper, including its address, specialty, and other details, was most recently updated on 2012-04-26.