# COOPER UNIVERSITY DENTAL HEALTH P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548992738
- **Authorized official:** ANTHONY MAZZARELLI MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (516) 593-1380

## Contact information

- **Practice address:** 1 COOPER PLZ, CAMDEN, NJ 08103-1461
- **Practice address phone:** (856) 342-2627
- **Mailing address:** 1 FEDERAL ST STE S400, CAMDEN, NJ 08103-1157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223D0004X | Dental Anesthesiology | — | NULL | — |
| 1223D0004X | Dental Anesthesiology | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2022
- **Last updated:** 06/27/2022