Shauni Cooley, DMD
Individual provider Active NPI Dentist · Chipley, FL
NPI 1992620520 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1992620520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 32450 (FL)
- Practice address
- 1410A Brickyard Rd
Chipley, FL 32428-5966 - Phone
- (850) 415-1411
- NPI assigned
- Aug 12, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 32450 | FL | Yes |
Addresses
Primary practice location
1410A Brickyard Rd
Chipley, FL 32428-5966
Mailing address
3323 Douglas Ferry Rd
Bonifay, FL 32425-8711
Phone (850) 703-0038
Other practice location 1
110 E North Ave
Bonifay, FL 32425-1715
Phone (850) 547-9290
Other providers in Chipley, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.