Roger Willson Cooper in Tucson - Periodontics
Roger Willson Cooper - NPI 1114078136
Roger Willson Cooper is a Periodontics in Tucson, Arizona. Roger Willson Cooper practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Roger Willson Cooper is 1114078136. The last update date is 2007-07-08.
Roger Willson Cooper's current location address is 1625 W Ina Rd, Tucson, Arizona. You can contact this provider via phone number 5205318605 and fax number 5205750618. The mailing address for Roger Willson Cooper is 1625 W Ina Rd, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Willson Cooper |
|---|---|
| Address | 1625 W Ina Rd, Tucson, Arizona |
| Phone Number | 5205318605 |
| Fax Number | 5205750618 |
| Sole Proprietor | Y |
| Credentials | D.D.S.,M.A |
NPI Number Detail
| NPI Number | 1114078136 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1625 W Ina Rd |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857041900 |
| Phone Number | 5205318605 |
| Fax Number | 5205750618 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | D6003 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identifier code issued to Roger Willson Cooper by the Centers for Medicare & Medicaid Services?
The Roger Willson Cooper has been assigned the NPI (National Provider Identifier) 1114078136 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Roger Willson Cooper located?
The Roger Willson Cooper is located at 1625 W Ina Rd, Tucson, AZ 857041900.
What is Roger Willson Cooper's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Roger Willson Cooper's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
When did Roger Willson Cooper receive its 1114078136 assignment?
The Roger Willson Cooper was assigned its 1114078136 on 2007-01-16, which is the date when this unique identifier was issued to the organization.
As of what date were the Roger Willson Cooper's details last updated?
The information pertaining to the Roger Willson Cooper, including its address, specialty, and other details, was most recently updated on 2007-07-08.