Individual provider · Type 1 NPI
Lyndon Cooper, DDS, MS, PhD
Prosthodontics · Chicago, IL
NPI number
1043335276
Active
Practice location
801 S Paulina St # 402E
Chicago, IL 60612-7210
Mailing address
415 E North Water St Apt 607
Chicago, IL 60611-5613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 021.002815 (IL) |
| General Practice Dentistry | 1223G0001X | 019.030537 (IL) |
| Prosthodontics | 1223P0700X | 38430-1 (NY) |
| Prosthodontics | 1223P0700X | 0007 (NC) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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About NPI 1043335276
Lyndon Cooper, DDS, MS, PhD's National Provider Identifier is 1043335276, issued on Mar 20, 2007. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Chicago, IL. The record was last updated on Jan 14, 2020.