Active NPIIndividual providerSole proprietor

Patrick Cooper, DMD

Dentist, Pediatric Dentistry in Medford, Massachusetts

NPI Number1528417342
Practice location
80 High St, Medford, MA 02155-3872
Fax
—
Last updated
January 4, 2021

Patrick Cooper is a Dentist, Pediatric Dentistry based in Medford, MA. Patrick Cooper practices in Medford, MA and has the professional credentials of DMD. The NPI Number for Patrick Cooper is 1528417342 and holds a License No. DL12900 (MA). The current practice location address for Patrick Cooper is 80 High St, Medford, MA 02155-3872 and can be reached out via phone at 781-391-8300.

Provider Profile Details

NPI Number
1528417342
Provider Name
Patrick Cooper
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
80 High St, Medford, MA 02155-3872
Phone Number
781-391-8300
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
Yes
Provider Enumeration Date
June 13, 2016
Last Update Date
January 4, 2021
Certification Date
January 4, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 High St
Medford, MA 02155-3872
Zip
02155-3872
Phone Number
781-391-8300
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
80 High St
Medford, MA 02155-3872
City
Medford
State
MA
Zip
02155-3872
Phone Number
781-391-8300

License Information

License Number
DL12900
License State
MA
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentist, Pediatric Dentistry providers near Medford, MA

View all Dentist, Pediatric Dentistry providers in Medford →

Frequently Asked Questions

What is the NPI number of Patrick Cooper, DMD?

The NPI number of Patrick Cooper, DMD is 1528417342. It was assigned on June 13, 2016 and is currently active in the NPPES registry.

What is the specialty of Patrick Cooper, DMD?

Patrick Cooper, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in MA under license number DL12900.

Where does Patrick Cooper, DMD practice?

The practice location is 80 High St, Medford, MA 02155-3872. The office can be reached at 781-391-8300 (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 1528417342 directly on the NPPES registry website.

Browse related providers