Kenneth Cooperman, Dmd, Pc

LBN: Modern Orthodontics, Pc
Kenneth Cooperman, Dmd, Pc is an health care organization with primary practice located at 391 E 149Th St Rm 214 , Bronx NY 10455-3922. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Modern Orthodontics, Pc can be contacted via phone (718) 993-5454, or through Cooperman, Kenneth Bruce via phone (718) 993-5454.

Contact Information

Primary practice address
391 E 149Th St Rm 214 Bronx NY 10455-3922
Phone: (718) 993-5454
Fax: (718) 993-5455
Website:
Map and Directions
Authorized official contact:
Name: Cooperman, Kenneth Bruce Doctor of Dental Medicine (DMD)
Phone: (718) 993-5454

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 0469571 New York

Profile Details

NPI number 1952366973
LBN Legal business name Modern Orthodontics, Pc
DBA Doing business as Kenneth Cooperman, Dmd, Pc
Authorized official Cooperman, Kenneth Bruce Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2006
Last updated May 14th, 2024 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952366973 NPPES
New York MEDICAID 200698105

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