- Practice location
- 11471 SW Scholls Ferry RD, Beaverton, OR 97008-7168
- Phone
- 503-356-1078
- Fax
- —
- Last updated
- October 23, 2014
Cooper Mountain Dental LLC is a healthcare organization based in Beaverton, OR. Cooper Mountain Dental LLC practices in Beaverton, OR. The NPI Number for Cooper Mountain Dental LLC is 1154726917 and holds a License No. D8822 (OR). The current practice location address for Cooper Mountain Dental LLC is 11471 SW Scholls Ferry RD, Beaverton, OR 97008-7168 and can be reached out via phone at 503-356-1078.
Provider Profile Details
- NPI Number
- 1154726917
- Provider Name
- Cooper Mountain Dental LLC
- Provider Entity Type
- Organization
- Address
- 11471 SW Scholls Ferry RD, Beaverton, OR 97008-7168
- Phone Number
- 503-356-1078
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Banu Ramkrishna, DMD · Owner Dentist · 503-356-1078
- Provider Enumeration Date
- October 23, 2014
- Last Update Date
- October 23, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11471 SW Scholls Ferry RD
Beaverton, OR 97008-7168 - City
- Beaverton
- State
- Oregon
- Zip
- 97008-7168
- Phone Number
- 503-356-1078
Provider Business Mailing Address Details
- Address
- 11471 SW Scholls Ferry RD
Beaverton, OR 97008-7168 - City
- Beaverton
- State
- OR
- Zip
- 97008-7168
License Information
- License Number
- D8822
- License State
- OR
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Cooper Mountain Dental LLC?
The NPI number of Cooper Mountain Dental LLC is 1154726917. It was assigned on October 23, 2014 and is currently active in the NPPES registry.
What is the specialty of Cooper Mountain Dental LLC?
Cooper Mountain Dental LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in OR under license number D8822.
Where does Cooper Mountain Dental LLC practice?
The practice location is 11471 SW Scholls Ferry RD, Beaverton, OR 97008-7168. The office can be reached at 503-356-1078 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154726917 directly on the NPPES registry website.