Active NPI
Sean P. Cooney, DMD, LLC
- Dental Clinic/Center
- Fenton, MO
National Provider Identifier
1770853285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 2005018812
- Legal business name
- SEAN P. COONEY, DMD, LLC
- Practice address
- 30 Fenton PLZ
Fenton, MO 63026-4110 - Phone
- (636) 349-0070
- NPI assigned
- Jan 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sean Cooney, DMD
- Title
- Owner
- Phone
- (636) 349-0070
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 2005018812 | MO | Primary |
Addresses
Primary practice location
30 Fenton PLZ
Fenton, MO 63026-4110
Mailing address
30 Fenton PLZ
Fenton, MO 63026-4110
National Provider Directory
National Provider DirectoryLocations
30 Fenton Plz
Fenton, MO 63026
Phone (366) 349-0070
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Fenton, MO
- NPI 1881663532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325376000000",
"number": "1770853285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 FENTON PLZ",
"city": "FENTON",
"state": "MO",
"postal_code": "630264110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 FENTON PLZ",
"city": "FENTON",
"state": "MO",
"postal_code": "630264110",
"telephone_number": "636-349-0070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEAN P. COONEY, DMD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-01",
"last_updated": "2012-01-01",
"status": "A",
"authorized_official_last_name": "COONEY",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "636-349-0070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "MO",
"license": "2005018812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.