COOPERMAN FAMILY DENTISTRY PLLC (NPI# 1417445099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417445099 |
| Entity Type | Organization |
| Organization Name | COOPERMAN FAMILY DENTISTRY PLLC |
| Other Organization Name | BENJAMIN COOPERMAN DMD |
| Practice Address |
25101 N Lake Pleasant Pkwy # B-1335 Peoria AZ 85383-1386 |
| Practice Telephone | 4803246457 |
| Practice Fax Number | 4806800921 |
| Mailing Telephone | 4803246457 |
| Mailing Fax Number | 4806800921 |
| Enumeration Date | 2018-04-29 |
| Last Update Date | 2018-04-29 |
| Authorized Official Name | DR. BENJAMIN PETER COOPERMAN (OWNER) |
| Authorized Official Telephone | 4803246457 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
9640 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | NPI TYPE1 | 1225412950 | 01 |
| Other Name | Type Code |
|---|---|
| Benjamin Cooperman DMD | Doing Business As Name - Organization |
| Street Address |
25101 N LAKE PLEASANT PKWY # B-1335 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85383-1386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
| 1528694247 | Lake Pleasant Kids Dentists and Orthodontics, LLP | Dentist | 24775 North Lake Pleasant Parkway Suite 104, Peoria, AZ 85383 | 2020-03-13 |
| 1124502273 | Nicole Angelina Hennigan | Registered Nurse | 9710 W. Happy Valley Rd, Suite 100 (salon 16), Peoria, AZ 85383 | 2018-09-24 |
| 1962994012 | Reach for The Stars Pediatric Therapy Pllc | Physical Therapy Assistant | 8662 W Lariat Ln, Peoria, AZ 85383 | 2018-06-05 |
| 1013417617 | Elite Infusions LLC | Internal Medicine | 10252 W Villa Chula, Peoria, AZ 85383 | 2018-02-20 |
| 1427577238 | Serene Valley Care LLC | Assisted Living Facility | 29751 N 119th Lane, Peoria, AZ 85383 | 2017-09-12 |
| 1255857827 | Advanced Air Amulance LLC | Ambulance | 9463 West El Cortez Place, Peoria, AZ 85383 | 2017-08-16 |
| 1427578996 | Paul R Arthur | Physical Therapist | 9745 W. Happy Valley Rd, Peoria, AZ 85383 | 2017-06-26 |
| 1528597143 | Lucy Denton | Specialist/Technologist | 9234 West Andrea Drive, Peoria, AZ 85383 | 2017-06-07 |
| 1801263579 | John Leano | Pharmacist | 26898 N 87th Dr, Peoria, AZ 85383 | 2015-08-28 |
| Find all providers in zip 85383 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520347 | Dr. Reese Turner, Dds, PC | Clinic/Center | 9059 W Lake Pleasant Pkwy Ste A100, Peoria, AZ 85382-8393 | 2020-05-20 |
| 1386280840 | Tru Dental LLC | Clinic/Center | 8325 W. Happy Valley Rd, Building 1 Suite 100, Peoria, AZ 85383-8538 | 2019-11-20 |
| 1609343987 | Dental Excellence Pllc | Clinic/Center | 20403 N Lake Pleasant Rd Ste 121, Peoria, AZ 85382-9707 | 2018-10-25 |
| 1992202139 | Peoria Dental LLC | Clinic/Center | 7417 N Knoxville Ave, Peoria, IL 61614-2019 | 2018-04-12 |
| 1598262917 | A Tender Dental Care V LLC | Clinic/Center | 25355 N Lake Pleasant Pkwy Unit 103, Peoria, AZ 85383-1504 | 2018-04-11 |
| 1578987699 | Cactus Dental Care LLC | Clinic/Center | 7440 W Cactus Rd Ste A18, Peoria, AZ 85381-9534 | 2014-02-10 |
| 1588897789 | Rio Vista Dental Arts Pllc | Clinic/Center | 9145 W Thunderbird Rd, H-105, Peoria, AZ 85381-4820 | 2009-09-03 |
| 1700490992 | Tooth Corps Pllc | Clinic/Center | 13660 N 94th Dr Ste B1, Peoria, AZ 85381-4848 | 2020-09-03 |
| 1689283814 | Core Family Dental | Clinic/Center | 13460 N 94th Dr Ste K4, Peoria, AZ 85381-4249 | 2020-07-23 |
| 1851909345 | Peoria Dental Care | Clinic/Center | 4517 N Rockwood Dr, Peoria, IL 61615-3841 | 2020-07-21 |
| Find all providers in PEORIA | ||||
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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.