Cooper Differding, D.D.S

Dentist · Mill Valley, CA

Individual Active NPI

NPI number 1588011845

Practice location

10 Willow St
Mill Valley, CA 94941-2845
Phone
(415) 388-6100
Fax
(415) 388-6100

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NPI record

NPI
1588011845
Entity type
Individual (Type 1)
Enumeration date
May 17, 2016
Last updated
March 17, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 64885 CA

Mailing address

10 Willow St Ste 6
Mill Valley, CA 94941-2895
Phone
(415) 388-6100

Other practice locations (1)

  • 3017 Telegraph Ave, Suite 300, Berkeley, CA 94705-2049 · (510) 849-1500

About Dr. Differding

Cooper Differding, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 10 Willow St, Mill Valley, CA 94941-2845. The NPI number 1588011845 was assigned on May 17, 2016 and the record was last updated on March 17, 2018.

Dr. Differding lists a license in the registry: #64885 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cooper Differding, D.D.S?

The NPI number is 1588011845.

What is the phone number of Dr. Differding?

The phone number listed for the practice location is (415) 388-6100.

Where is Dr. Differding located?

10 Willow St, Mill Valley, CA 94941-2845.

What is the taxonomy code for Dr. Differding?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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