COOPER COSMETIC & FAMILY DENTISTRY (NPI# 1417165267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417165267 |
| Entity Type | Organization |
| Organization Name | COOPER COSMETIC & FAMILY DENTISTRY |
| Practice Address |
4830 Chateau Ave North Charleston SC 29405-4806 |
| Practice Telephone | 8432258718 |
| Practice Fax Number | 8432258728 |
| Mailing Telephone | 8432258718 |
| Mailing Fax Number | 8432258728 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2015-03-12 |
| Authorized Official Name | DR. AMY KATHLEEN COOPER (PRESIDENT) |
| Authorized Official Telephone | 8432258718 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4103 | SC | Dental Providers |
| Street Address |
4830 CHATEAU AVE |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29405-4806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730737255 | Peele Dental | Dentist | 4830 Chateau Ave, North Charleston, SC 29405-4806 | 2019-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| 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 |
|---|---|---|---|---|
| 1124574132 | Coosaw Dental, LLC | Dentist | 8626 Dorchester Rd Ste 102, North Charleston, SC 29420-7328 | 2016-08-30 |
| 1508319013 | Alexandra Haase | Dentist | 7398 Rivers Ave, North Charleston, SC 29406-4613 | 2016-08-01 |
| 1811344732 | Jennifer Plyler Newsome | Dentist | 8471 Resolute Way Ste 104, North Charleston, SC 29420-7390 | 2016-05-20 |
| 1104273481 | All Smiles Family Dentistry, LLC | Dentist | 1098 E Montague Ave, North Charleston, SC 29405-4837 | 2016-05-17 |
| 1174917629 | Jessica Peele | Dentist | 1174 Leesville St, North Charleston, SC 29405-4741 | 2015-03-23 |
| 1831485010 | Jennifer Lynn Sielski | Dentist | 7800 Rivers Ave Ste 1640, North Charleston, SC 29406-4076 | 2011-06-25 |
| 1881825933 | Thomas Nelson Pare IIi IIi | Dentist | 8626 Dorchester Road, Ste 102, Coosaw Dental, North Charleston, SC 29420 | 2009-08-06 |
| 1518128032 | Michael Gary Morrison | Dentist | 8731-d Northpark Boulevard, North Charleston, SC 29406-9264 | 2008-06-18 |
| 1831371913 | Raymond S Vicente Dmd LLC | Dentist | 7481 Northside Drive, Suite A, North Charleston, SC 29420-4282 | 2007-11-30 |
| 1508066242 | Ashley Dental Associates | Dentist | 3210 Landmark Drive, Suite D, North Charleston, SC 29418 | 2007-07-20 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29405 |
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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.