Dr. Cooper2 Gentle Dental Assoc., LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. COOPER2 GENTLE DENTAL ASSOC., LTD.

Practice address

5101 Washington St
Suite 2V
Gurnee, IL 60031-5916

Phone

(847) 244-4000

Fax

(847) 244-5911

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Howard Cooper, D.D.S.NPI 1083828883

Title

Treasurer

Phone

(847) 244-4000

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Howard I. Cooper, D.D.S.

  • General Practice Dentistry
  • Gurnee, IL
  • NPI 1083828883
  NPD (past) Authorized official
• Lawrence H. Cooper, D.D.S.

  • General Practice Dentistry
  • Gurnee, IL
  • NPI 1780898593
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982817839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 WASHINGTON ST",
            "address_2": "SUITE 2V",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315916",
            "telephone_number": "847-244-4000",
            "fax_number": "847-244-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 WASHINGTON ST",
            "address_2": "SUITE 2V",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315916",
            "telephone_number": "847-244-4000",
            "fax_number": "847-244-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. COOPER2 GENTLE DENTAL ASSOC., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "847-244-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Gurnee, IL
• Providers in Gurnee, IL by specialty
• General Practice Dentistry in Illinois

• 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.