Doctor Name: | DR. LOUIS M COOPER |
NPI Number: | 1093866683 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS |
License Number: | 031821 |
Business Practice Address: | 90 S Ridge St Rye Brook, NY - 105732867 |
Business Phone Number: | 9149251099 |
Business Fax Number: | 9149348942 |
Mailing Address: | 165 Polly Pk Rd, RYE |
State: | NY |
Postal Code: | 105801949 |
Phone Number: | 9146974151 |
Fax Number: | |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 03/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 031821 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |