Cooper, Todd C

Cooper, Todd C is an individual health care provider with primary practice located at 512 N Young St , Kennewick WA 99336-7806. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Cooper, Todd C can be contacted via phone (509) 783-7600.

Contact Information

Primary practice address
512 N Young St Kennewick WA 99336-7806
Phone: (509) 783-7600
Fax: (509) 783-0774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 9520 Washington
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X D9191 Oregon
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 9520 Washington
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D9191 Oregon

Profile Details

NPI number 1871523183
LBN Legal business name Cooper, Todd C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Nov 25th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871523183 NPPES
Washington MEDICAID 5042361

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