William F Cooper, D.D.S.
Individual provider Active NPI Periodontics · Labelle, FL
NPI 1083727242 · NPPES record last updated Nov 12, 2009
Key facts
- NPI
- 1083727242
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 4926 (FL)
- Practice address
- 813 E Hickpochee Ave
Suite 500
Labelle, FL 33935-5033 - Phone
- (863) 675-3270
- Fax
- (863) 675-3868
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4926 | FL | MD | Speech-Language Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 4926 | FL | Yes |
Addresses
Primary practice location
813 E Hickpochee Ave
Suite 500
Labelle, FL 33935-5033
Mailing address
813 E Hickpochee Ave
Suite 500
Labelle, FL 33935-5033
Phone (863) 675-3270
Other providers in Labelle, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.