Arthur Cooper, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

4159-20 Issued in MS

Practice address

3999 N Gloster St Ste D
Tupelo, MS 38804-0950

Phone

(662) 778-2002

NPI assigned

Aug 26, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Park Dental Group - Tupelo PLLC

  • General Practice Dentistry
  • Tupelo, MS
  • NPI 1528722709
  NPD

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1528671971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 S MCCORMICK PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837097928",
            "telephone_number": "208-371-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 N GLOSTER ST STE D",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040950",
            "telephone_number": "662-778-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "23305",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "4159-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lattice Cook, M.ED., LPC
• Lauren H. Cook, CRNA
• Rena C Cook, RN
• Stephanie Cook, FNP-C
• Zane Amaziah Cooley, NP
• Ashley Cooper, PMHNP-BC
• Cortni Cooper, DPT
• Felisia Hodges Cooper, MS, PCMHT
• Hana G Cooper, MOT
• Robert Millsaps Corban, LCSW

• Dentist in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.