Cooper, Lyndon
Cooper, Lyndon is an individual health care provider with primary practice located at 801 S Paulina St # 402E , Chicago IL 60612-7210. He recently has 2 registered licenses in different health care specialties including Dental Providers / Prosthodontics, Dental Providers / General Practice. Dental Providers / Prosthodontics is his primary health care specialty. Cooper, Lyndon can be contacted via phone (312) 996-7515.Contact Information
Primary practice address
801 S Paulina St # 402E
Chicago IL 60612-7210
Phone: (312) 996-7515
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Prosthodontics | 1223P0700X | 021.002815 | Illinois |
Dental Providers / General Practice | 1223G0001X | 019.030537 | Illinois |
Dental Providers / Prosthodontics | 1223P0700X | 38430-1 | New York |
Dental Providers / Prosthodontics | 1223P0700X | 0007 | North Carolina |
Profile Details
NPI number | 1043335276 |
---|---|
LBN Legal business name | Cooper, Lyndon |
Credentials | DDS, MS, PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2007 |
Last updated | Jan 14th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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