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NPI Code Detail

MEDICARE: COOPER AND THOMAS ORAL SURGERY, PLLC

MEDICARE: COOPER AND THOMAS ORAL SURGERY, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1396488359
Entity Type Code : Organization
Provider Name (Legal Business Name) : COOPER AND THOMAS ORAL SURGERY, PLLC
Provider Business Mailing Address
First Line : 5001 BISSONNET ST STE 103
Second Line :
City : BELLAIRE
State : TX
Zip : 77401-4015
Country : US
Telephone Number : 877-667-7669
Fax Number : 888-920-7457
Provider Business Practice Location Address
First Line : 5001 BISSONNET ST STE 103
Second Line :
City : BELLAIRE
State : TX
Zip : 77401-4015
Country : US
Telephone Number : 713-592-9336
Fax Number : 713-592-9337
Authorized Official
Title or Position : CREDENTIALING
Name : ARYN SHERFIELD
Credential :
Telephone Number : 877-667-7669
Provider Enumeration Date : 04/18/2022
Last Update Date : 04/18/2022

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Directions to “COOPER AND THOMAS ORAL SURGERY, PLLC ” Practice Location

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