Jillian Cooper, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

3257 Issued in OK

Practice address

801 S Lee St Ste a
Fort Gibson, OK 74434-8710

Phone

(918) 478-4433

NPI assigned

May 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Taldg PLLC

  • General Practice Dentistry
  • Fort Gibson, OK
  • NPI 1912668070
  NPD
• Fort Gibson Family Dentistry PC

  • General Practice Dentistry
  • Fort Gibson, OK
  • NPI 1114052032
  NPD (past)

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1134865272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 NORH 6 MILE LANE",
            "city": "FORT GIBSON",
            "state": "OK",
            "postal_code": "74434",
            "telephone_number": "918-869-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S LEE ST STE A",
            "city": "FORT GIBSON",
            "state": "OK",
            "postal_code": "744348710",
            "telephone_number": "918-478-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JILLIAN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OK",
            "license": "3257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Bywater
• Erin Lee Carrell, BSW
• Angela Clark
• Brandy Donnell Clopton
• Compass Counseling Services PLLC
• Debbie S Coy, OD
• Dana Davis, P.T.
• Lauren Deatherage, PHARM D
• Debbie S. Coy, O.D. P.C.
• Donald M Elgin, MD

• Dental Hygienist in Fort Gibson, OK
• Providers in Fort Gibson, OK by specialty
• Dental Hygienist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.