Mark Allen Cooper, DDS
Dentist · Clearlake, CA
Practice location
3560 Old Highway 53Clearlake, CA 95422-9251
- Phone
- (707) 994-9414
- Fax
- (707) 994-6328
NPI record
- NPI
- 1912926411
- Entity type
- Individual (Type 1)
- Enumeration date
- July 18, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
23996 | CA |
Mailing address
15525 Rumsey RdClearlake, CA 95422-9594
- Phone
- (707) 995-3252
- Fax
- (707) 995-2254
About Dr. Cooper
Mark Allen Cooper, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3560 Old Highway 53, Clearlake, CA 95422-9251. The NPI number 1912926411 was assigned on July 18, 2006 and the record was last updated on July 8, 2007.
Dr. Cooper lists a license in the registry: #23996 (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 Mark Allen Cooper, DDS?
The NPI number is 1912926411.
What is the phone number of Dr. Cooper?
The phone number listed for the practice location is (707) 994-9414.
Where is Dr. Cooper located?
3560 Old Highway 53, Clearlake, CA 95422-9251.
What is the taxonomy code for Dr. Cooper?
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.
Other Dentist providers in Clearlake
- Thomas Hewlett, DDS3560 Old Highway 53
- Simon Lee Dental15130 Lakeshore Dr
- Siamak Sahand, DMD14440 Olympic Drive
- James Kinsel, DDS3560 Old Highway 53