Steven R. & Jennifer S. Cooper DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STEVEN R. & JENNIFER S. COOPER DMD PA

Practice address

1275 W. Granada Blvd., Suite 1
Ormond Beach, FL 32174

Phone

(386) 672-0955

Fax

(386) 672-5177

NPI assigned

May 20, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven R. Cooper, DMD

Title

Owner Doctor

Phone

(386) 672-0955

Specialties & licenses 1

Addresses

Other names 1

• Cooper Dental Group Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1124464938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W. GRANADA BLVD., SUITE 1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-672-0955",
            "fax_number": "386-672-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W. GRANADA BLVD., SUITE 1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-672-0955",
            "fax_number": "386-672-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN R. & JENNIFER S. COOPER DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "386-672-0955",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooper Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Star Medical FL PLLC
• Staudt Dental, LLC
• Michael W Stauffer Jr., LMT
• William Steger
• Stephen H Levine MD Facs PA
• Xuan Stevens, PH.D.
• Teresa Stevenson, MA, LMHC
• Gail Stillings-Burch, CRNFA
• Stanley Francis Stockhammer Jr., D.O.
• Nicole Strang, PA-C

• General Practice Dentistry in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.