Walter Cooper Sandusky in Memphis - Orthodontics And Dentofacial Orthopedics
Walter Cooper Sandusky - NPI 1780722959
Walter Cooper Sandusky is a Orthodontics And Dentofacial Orthopedics in Memphis, Tennessee. Walter Cooper Sandusky practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Walter Cooper Sandusky is 1780722959. The last update date is 2007-07-08.
Walter Cooper Sandusky's current location address is 6262 Poplar Ave, Memphis, Tennessee. You can contact this provider via phone number 9017613700 and fax number 9016800403. The mailing address for Walter Cooper Sandusky is 6262 Poplar Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Walter Cooper Sandusky |
|---|---|
| Address | 6262 Poplar Ave, Memphis, Tennessee |
| Phone Number | 9017613700 |
| Fax Number | 9016800403 |
| Sole Proprietor | Y |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1780722959 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6262 Poplar Ave |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381194728 |
| Phone Number | 9017613700 |
| Fax Number | 9016800403 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 3809 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 37820 | TN | BCBS OF TENNSSEE | |
| 832857 | TN | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Walter Cooper Sandusky by the Centers for Medicare & Medicaid Services?
The Walter Cooper Sandusky has been issued the NPI (National Provider Identifier) 1780722959, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Walter Cooper Sandusky?
The Walter Cooper Sandusky is situated at 6262 Poplar Ave, in the city of Memphis, state of TN, with the zip code 381194728.
What is the Walter Cooper Sandusky's specialty and taxonomy code?
The Walter Cooper Sandusky's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
When did the Walter Cooper Sandusky receive its 1780722959?
The Walter Cooper Sandusky was issued its 1780722959 on 2007-02-01, which is the date when the organization was assigned this unique identifier.
When was the information related to Walter Cooper Sandusky most recently updated or refreshed?
The details pertaining to the Walter Cooper Sandusky, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.