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Kevin Coppelson, DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Los Angeles, California
NPI 1225322019

Kevin Coppelson is a Oral and Maxillofacial Surgery (Dentist) based in Los Angeles, CA and is specialized in Oral and Maxillofacial Surgery. Kevin Coppelson practices in Los Angeles, CA and has the professional credentials of DDS,MD. The NPI Number for Kevin Coppelson is 1225322019 and holds a License No. 34607 (California).

The current practice location address for Kevin Coppelson is 10921 Wilshire Blvd Ste 912, Los Angeles, CA and can be reached out via phone at 310-579-9710.

Location: 10921 Wilshire Blvd Ste 912, Los Angeles, CA, 90024-3906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225322019
Provider Name
Kevin Coppelson
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
10921 Wilshire Blvd Ste 912, Los Angeles, CA, 90024-3906
Phone Number
310-579-9710
Fax Number
Provider Enumeration Date
06/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10921 Wilshire Blvd Ste 912
City
Los Angeles
State
California
Zip
90024
Phone Number
310-579-9710
Fax Number
person
Provider Business Mailing Address Details
Address
10921 Wilshire Blvd Ste 912
City
Los Angeles
State
California
Zip
90024
Phone Number
310-579-9710
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
34607 (Texas)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
157675 (California)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
34607 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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