David a Cotant DDS PS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DE00003794 Issued in WA

Legal business name

DAVID A COTANT DDS PS

Practice address

9101 Bridgeport Way SW
BLDG B2
Lakewood, WA 98499-2419

Phone

(253) 584-0858

Fax

(253) 584-1446

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David A Cotant, DDS

Title

Owner President

Phone

(253) 584-0858

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Oral and Maxillofacial Surgery of Lakewood Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy R Johnson, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Lakewood, WA
  • NPI 1548241219
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609900638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 BRIDGEPORT WAY SW",
            "address_2": "BLDG B2",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992419",
            "telephone_number": "253-584-0858",
            "fax_number": "253-584-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 BRIDGEPORT WAY SW",
            "address_2": "BLDG B2",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992419",
            "telephone_number": "253-584-0858",
            "fax_number": "253-584-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A COTANT DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COTANT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "253-584-0858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE00003794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5355307",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "CO5448",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral and Maxillofacial Surgery of Lakewood",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathy Dastrup, CDP
• Simon Dau-Angok
• Jacob Mabior Dau, BA
• Mark John Dauer, M.A.
• Aaron Davenny
• David R Benson MD OD PLLC
• David R. Kennel, MD
• David Thomas Williams
• Katelyn Paige Davidson
• Lacey Anne Davidson

• Oral and Maxillofacial Surgery (Dentist) in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.