MRS. LACEY LEE COOPER (NPI# 1073134276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073134276 |
| Entity Type | Individual |
| Full Name | MRS. LACEY LEE COOPER |
| Credential | RDH |
| Practice Address |
3189 Maple Dr Ne Atlanta GA 30305-2501 |
| Mailing Address |
713 Woodbridge Dr Woodstock GA 30188-7146 |
| Practice Telephone | 7709983838 |
| Mailing Telephone | 5093012081 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3590 Old Alabama Rd., Johns Creek, GA 30022 | 4048162230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639796477 | Lacey A Cooper | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-06-27 |
| 1538641865 | Lacey Jay Cooper | Behavioral Analyst | 471 Century Park Dr, Yuba City, CA 95991-5771 | 2018-09-04 |
| Street Address |
3189 MAPLE DR NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30305-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164733465 | Andrew Scott Currie | Dentist | 3189 Maple Dr Ne, Atlanta, GA 30305-2501 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659981322 | Gerald E Roettger | Physical Therapist | 2955 Peachtree Road Nw, Suite A1, Atlanta, GA 30305 | 2020-08-06 |
| 1689202681 | Pt Hills Place Terraces LLC | Assisted Living Facility | 229 Peachtree Hills Place, Atlanta, GA 30305 | 2020-03-27 |
| 1043704299 | Alyssa Elrod Utz | Pharmacist | 3495 Piedmont Road, First Floor, Suite 110, Atlanta, GA 30305 | 2018-06-20 |
| 1508373689 | Kathryn Gohde | Counselor | 3525 Piedmont Rd Nw, Bldg 7 Suite 408, Atlanta, GA 30305 | 2018-01-10 |
| 1386195154 | Ryan Gabriel Wilkins | Physical Therapist | 550 Pharr Rd Ne Ste 550, Atlanta, GA 30305 | 2016-10-17 |
| 1821440587 | Monica Martinez Dicristina | Counselor | 3525 Piedmont Road, Building 7, Suite 408, Atlanta, GA 30305 | 2016-07-06 |
| 1164879532 | Brittany Nicole Albritton | Physical Therapist | 3169 Maple Drive Ne, Atlanta, GA 30305 | 2016-05-16 |
| 1588039275 | Alaina Blevins | Physician Assistant | 240 Pharr Rd Ne, Atlanta, GA 30305 | 2015-12-07 |
| 1558750141 | A2h2 | Clinic/Center | 2909 Peachtree Rd; Nw;, Atlanta, GA 30305 | 2015-01-20 |
| 1144619016 | We Up Home Health Services LLC | Clinic/Center | 2909 Peachtree Rd; Nw, Atlanta, GA 30305 | 2015-01-15 |
| Find all providers in zip 30305 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215543871 | Amy Lynnstarr Cohn | Dental Hygienist | 1252 Dunwoody Cv, Atlanta, GA 30338-2306 | 2020-09-18 |
| 1881214864 | Shante' L Mosley | Dental Hygienist | 2118 Belhaven Ln Se, Atlanta, GA 30315-6802 | 2020-04-20 |
| 1861021677 | Morristine Lynn Mcclain | Dental Hygienist | 3890 Redwine Rd Sw Ste 206, Atlanta, GA 30331-5583 | 2020-04-03 |
| 1942701081 | Julie Crocker | Dental Hygienist | 1046 Ridge Ave. Sw, Atlanta, GA 30315 | 2018-02-23 |
| 1558896472 | Shelley Christine Bergholcs | Dental Hygienist | 2828 Peachtree Rd Nw, #1902, Atlanta, GA 30305-5107 | 2017-04-28 |
| 1013208883 | Angeline Chiang | Dental Hygienist | 55 Georgia Ave Se, Atlanta, GA 30312-2848 | 2011-04-27 |
| 1578778270 | Stacey Leigh Graves | Dental Hygienist | 229 Peachtree St Ne, Suite 206, Atlanta, GA 30303-1601 | 2007-05-14 |
| 1811100779 | Amy C Reid | Dental Hygienist | 229 Peachtree Street Ne, International Tower Suite 206, Atlanta, GA 30303 | 2007-05-08 |
| 1912081399 | Kimberly Yvette Brown | Dental Hygienist | 229 Peachtree St. Ne Ste 206, Atlanta, GA 30303 | 2006-10-24 |
| 1780200089 | Ji Eun Park | Dental Hygienist | 3206 Shallowford Rd Ne, Atlanta, GA 30341-3633 | 2020-06-22 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.