Todd T Cooley Dds

LBN: Todd T Cooley Dds
Todd T Cooley Dds is an health care organization with primary practice located at 2124 Riverside Dr Suite 108, Mount Vernon WA 98273. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Todd T Cooley Dds can be contacted via phone (360) 424-8884, or through Cooley, Todd Thomas via phone (360) 424-8884.

Contact Information

Primary practice address
2124 Riverside Dr Suite 108 Mount Vernon WA 98273
Phone: (360) 424-8884
Fax: (360) 424-1640
Website:
Map and Directions
Authorized official contact:
Name: Cooley, Todd Thomas Doctor of Dental Surgery (DDS)
Phone: (360) 424-8884

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00010079 Washington

Profile Details

NPI number 1922173913
LBN Legal business name Todd T Cooley Dds
DBA Doing business as
Authorized official Cooley, Todd Thomas Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
Last updated Aug 22nd, 2020 - about 5 years 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 1922173913 NPPES
Washington MEDICAID 5048459

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