BRENDA COPELAND DDS PA (NPI# 1710127378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710127378 |
Entity Type | Organization |
Organization Name | BRENDA COPELAND DDS PA |
Practice Address |
723 N 4th St Longview TX 75601-5412 |
Practice Telephone | 9037537515 |
Practice Fax Number | 9037530003 |
Mailing Telephone | 9037537515 |
Mailing Fax Number | 9037530003 |
Enumeration Date | 2009-02-23 |
Last Update Date | 2009-02-23 |
Authorized Official Name | DR. BRENDA KAY COPELAND (DENTIST) |
Authorized Official Telephone | 9037537515 |
Authorized Official Credential | 02/29/1960 |
Is Organization Subpart | Y |
Parent Organization Name | BRENDA COPELAND DDS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
16043 | TX | Ambulatory Health Care Facilities |
Street Address |
723 N 4TH ST |
City | LONGVIEW |
State | TX |
Zip Code | 75601-5412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285704775 | Brenda Kay Copeland | Dentist | 723 N 4th St, Longview, TX 75601-5412 | 2006-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
Find all providers in zip 75601 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750825394 | Jd Troy Dds Pllc | Clinic/Center | 1118 Ocean Beach Hwy, Longview, WA 98632-4638 | 2016-12-16 |
1710312764 | Smiles of Tomorrow | Clinic/Center | 4 Huntington Cir, Longview, TX 75601-3537 | 2013-09-10 |
1619590593 | Tsd Kendall & Gengel Pllc | Clinic/Center | 444 Forest Sq Ste E, Longview, TX 75605-4463 | 2020-05-26 |
1942840004 | Mack Dental | Clinic/Center | 3008 H G Mosley Pkwy, Longview, TX 75605-2948 | 2020-01-07 |
1043855703 | Longview Family and Emergancy Dental Care Pllc | Clinic/Center | 2840 Bill Owens Pkwy Ste B, Longview, TX 75605-2150 | 2019-11-16 |
1598322463 | Longview Family Dental II | Clinic/Center | 2901 Bill Owens Pkwy, Longview, TX 75605-1601 | 2019-05-25 |
1033628920 | Mack and Hansen Orthodontics, Pllc | Clinic/Center | 1405 Judson Rd, Longview, TX 75601-3918 | 2017-09-24 |
1841641669 | Kopemak Dental Specialists, Pllc | Clinic/Center | 444 Forest Sq, Suite A, Longview, TX 75605-4463 | 2016-06-22 |
1407244221 | Dr. Julia Gourley Dmd PC | Clinic/Center | 2020 9th Ave Ste A, Longview, WA 98632-4072 | 2014-12-31 |
1770806275 | Eid, Jaber, Jassar, Pllc | Clinic/Center | 1717 Olympia Way, Suite 108, Longview, WA 98632-3929 | 2010-03-11 |
Find all providers in LONGVIEW |
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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.