JORDAN COOPER DDS PLLC (NPI# 1699036137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699036137 |
| Entity Type | Organization |
| Organization Name | JORDAN COOPER DDS PLLC |
| Other Organization Name | COMMUNITY GENERAL AND IMPLANT DENTISTRY |
| Practice Address |
1333 Arapaho Ave Suite B Springdale AR 72764-6936 |
| Mailing Address |
Po Box 217 Lowell AR 72745-0217 |
| Practice Telephone | 4794195959 |
| Practice Fax Number | 4799359248 |
| Mailing Telephone | 4794195959 |
| Mailing Fax Number | 4799359248 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |
| Authorized Official Name | MELISSA MEREDITH (EXECUTIVE DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 5012319928 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3565 | AR | Dental Providers |
| Other Name | Type Code |
|---|---|
| Community General and Implant Dentistry | Doing Business As Name - Organization |
| Street Address |
1333 ARAPAHO AVE SUITE B |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-6936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770688863 | Montgomery D. Heathman, D.d.s., P.a. | Dentist | 1333 Arapaho Ave, Suite B, Springdale, AR 72764-6936 | 2006-09-13 |
| 1477097608 | Axpm- Springdale Dental Pllc | Dentist | 1333 Arapaho Ave, Ste B, Springdale, AR 72764-6936 | 2016-12-07 |
| 1164700241 | Charity Bennett Jones | Speech-Language Pathologist | 1333 Arapaho Ave, Ste A, Springdale, AR 72764-6936 | 2011-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1851661003 | Andrew J Duck | Dentist | 2111 S Old Missouri Rd, Springdale, AR 72764-8718 | 2012-01-05 |
| 1063641736 | Donathan Scott Kimbrough | Dentist | 2702 American St, Springdale, AR 72764-6937 | 2009-07-02 |
| 1528251964 | Kyle William Harris | Dentist | 711 Quandt Ave, Springdale, AR 72764-5351 | 2007-08-20 |
| 1417096470 | Drs. Mock Associates In General Dentistry | Dentist | 315 Pittsburgh Street, Springdale, PA 15144-0182 | 2007-02-06 |
| 1548326697 | Frederick Jon Moffitt | Dentist | 848 Pittsburgh St, Springdale, PA 15144-1640 | 2006-12-30 |
| 1750440582 | Anmarie Giddings | Dentist | 105 North 2nd, Springdale, WA 99173-1349 | 2006-12-07 |
| 1518033018 | Timothy Charles Rothrock | Dentist | 1308 S Pleasant St, Springdale, AR 72764-6223 | 2006-11-27 |
| 1972677417 | Mark Robert Onady | Dentist | 333 W Kemper Rd, Springdale, OH 45246 | 2006-11-17 |
| 1447340450 | Randal S Kimbrough Dds Pa | Dentist | 2702 American Street, Springdale, AR 72764 | 2006-10-13 |
| Find all providers in SPRINGDALE | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
Please comment or provide details below to improve the information on JORDAN COOPER DDS PLLC.
| 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.