Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
COOPER DENTISTRY LLC
Active
Organization
COOPER DENTISTRY LLC
Active
Other names
Cooper Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
GIRIJA NADARAJAN (MANAGING MEMBER OWNER)
(480) 964-1000
Entity
Organization
Contact information
Practice address
78 N COOPER RD, SUITE 107, GILBERT, AZ 85233-5210
(480) 964-1000
(480) 964-3076
Mailing address
78 N COOPER RD, SUITE 107, GILBERT, AZ 85233-5210
(480) 964-1000
(480) 964-3076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1886358
UCCI
AZ
01
—
253383
DBP
AZ
01
—
75643
DHA
AZ
Enumeration date
05/03/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers