# TODD COOPER, DDS, TYSON TEEPLES, DMD, MD, RYAN TOPONCE, DMD, PS.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Columbia Basin Oral & Maxillofacial Surgeons, Columbia Basin Oral and Maxillofacial Surgeons
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487728614
- **Authorized official:** DR. TODD C COOPER DDS (PARTNER)
- **Authorized official phone:** (509) 783-7600

## Contact information

- **Practice address:** 512 N YOUNG ST, KENNEWICK, WA 99336-7806
- **Practice address phone:** (509) 783-7600
- **Practice address fax:** (509) 783-0774
- **Mailing address:** 512 N YOUNG ST, KENNEWICK, WA 99336-7806
- **Mailing address phone:** (509) 783-7600
- **Mailing address fax:** (509) 783-0774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 6293 | WA | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 06/21/2017