NPI 1114064649 · live from the CMS NPI Registry
Gordon Scott Cooper, DMD, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Albany, OR. National Provider Identifier 1114064649, active.
NPI record
| NPI | 1114064649 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2708 Santiam Hwy Se, Albany, OR 97322 |
| Practice phone | 541-418-4055 |
| Mailing address | 1370 Grand Ridge Drive Nw, Albany, OR 97321 |
| Enumerated | February 1, 2007 |
| Last updated | November 27, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 49863 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.