Coperhaver Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012235 Issued in GA

Legal business name

COPERHAVER DENTAL, LLC

Practice address

10230 Ford Avenue
Richmond Hill, GA 31324-8854

Phone

(912) 756-2936

Fax

(912) 756-2931

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Philip A Copenhaver, D.D.S

Title

Dentist/Buisiness Owner

Phone

(912) 756-2936

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1578836417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 FORD AVENUE",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248854",
            "telephone_number": "912-756-2936",
            "fax_number": "912-756-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 FORD AVENUE",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248854",
            "telephone_number": "912-756-2936",
            "fax_number": "912-756-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPERHAVER DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "COPENHAVER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST/BUISINESS OWNER",
        "authorized_official_telephone_number": "912-756-2936",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012235",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013390",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cook Management Services Inc (Bryan County Health & Rehab Center)
• Jessica Michelle Cook
• Kerri A Cook, ANP
• Hannah Cooper
• Philip A Copenhaver, D.D.S
• Tae'Ron Corbin
• John Patrick Cordova
• Costrini & Meadows, P.C.
• Neva N Coulter
• Courtney Camp Highsmith, DMD, PC (Ways Station Family Dental)

• General Practice Dentistry in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.