MARA COOPERRIDER (NPI# 1104448141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104448141 |
| Entity Type | Individual |
| Full Name | MARA COOPERRIDER |
| Credential | DMD |
| Practice Address |
633 N Union St Loudonville OH 44842-1074 |
| Mailing Address |
4381 Lucas Perrysville Rd Perrysville OH 44864-9615 |
| Practice Telephone | 4199943111 |
| Mailing Telephone | 4199614294 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30.026263 | OH | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
633 N UNION ST |
| City | LOUDONVILLE |
| State | OH |
| Zip Code | 44842-1074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124175997 | Darrel L Scott | Dentist | 633 N Union St, Loudonville, OH 44842-1074 | 2007-01-04 |
| 1073828786 | Scott Dental Group L L C | Clinic/Center | 633 N Union St, Loudonville, OH 44842-1074 | 2010-08-18 |
| 1174752992 | Tyler Lynn Scott | Dentist | 633 N Union St, Loudonville, OH 44842-1074 | 2009-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821599416 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 596 Hagan Dr, Loudonville, OH 44842 | 2018-02-28 |
| 1093216681 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 114 Banks Ave, Loudonville, OH 44842 | 2018-02-28 |
| 1922509512 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 150 Banks Ave, Loudonville, OH 44842 | 2018-02-28 |
| 1285135871 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 207 Middle Dr, Loudonville, OH 44842 | 2018-02-28 |
| 1346263563 | Loudonville Family Vision Inc | Optometrist | 631 N Union St, Loudonville, OH 44842 | 2006-07-26 |
| 1316170913 | Jennifer Leigh Goss | Licensed Practical Nurse | 118 W Loudon Ave, Loudonville, OH 44842-1021 | 2009-08-28 |
| 1457502353 | Joshua E Kaufman | Counselor | 637 N Market St, Loudonville, OH 44842-1029 | 2008-10-09 |
| 1578071262 | Michael Bitner | Nurse Practitioner | 546 N Union St, Loudonville, OH 44842-1040 | 2018-01-16 |
| 1538799325 | Dominique B James | Nurse Practitioner | 546 N Union St, Loudonville, OH 44842-1040 | 2020-01-21 |
| 1790771160 | Teresa T Cooperrider | Optometrist | 637 N Union St, Loudonville, OH 44842-1074 | 2005-09-21 |
| Find all providers in zip 44842 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942305776 | Christopher J Lyons | Dentist | 476 Albany Shaker Rd, Loudonville, NY 12211 | 2006-09-14 |
| 1265815088 | Abdentistrypllc | Dentist | 515 1/2 Albany Shaker Rd, Loudonville, NY 12211-2135 | 2015-06-30 |
| 1649586280 | Matthew D Kovach | Dentist | 399 Albany Shaker Rd Ste 201, Loudonville, NY 12211-1970 | 2010-08-20 |
| 1174752992 | Tyler Lynn Scott | Dentist | 633 N Union St, Loudonville, OH 44842-1074 | 2009-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372583 | Jacob Falter | Dentist | 4818 Hillcrest St S, Hilliard, OH 43026-1610 | 2020-09-24 |
| 1508476409 | Holpuch Dental Inc | Dentist | 340 Ridge Rd Ste 2, Newton Falls, OH 44444-1264 | 2020-08-05 |
| 1336758762 | Swati Verma | Dentist | 9850 Colerain Ave, Cincinnati, OH 45251-1470 | 2020-07-31 |
| 1508484320 | Kayla Fike D.d.s. LLC | Dentist | 5311 Broadview Rd, Parma, OH 44134-1617 | 2020-07-08 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1346867132 | Ashley Nicole Billings | Dentist | 4640 W Alexis Rd Ste 200, Toledo, OH 43623-1182 | 2020-06-29 |
| 1962028456 | Hiralben Patel | Dentist | 125 Amy Dr, Bryan, OH 43506-9086 | 2020-06-19 |
| 1942825815 | James Zaiger | Dentist | 73 W 5th Ave, Columbus, OH 43201-3218 | 2020-06-16 |
| 1831713015 | Matthew T Chaney | Dentist | 720 W 3rd Ave Apt 207, Columbus, OH 43212-3157 | 2020-06-03 |
| 1417570250 | Julissa E Burgos | Dentist | 5046 Turney Rd, Garfield Heights, OH 44125-2503 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
| City | LOUDONVILLE |
| Zip Code | 44842 |
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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.