Organization · Type 2 NPI

Marissa N. Cooper D.m.d., P.a.

Orthodontics and Dentofacial Orthopedics Dentistry · Weston, FL

NPI number 1194200840 Active

Practice location

1600 Town Center Cir Ste A
Weston, FL 33326-3641

Mailing address

10651 SW 55th St
Cooper City, FL 33328-5856

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1194200840

Marissa N. Cooper D.m.d., P.a.'s National Provider Identifier is 1194200840, issued on Sep 28, 2018. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Weston, FL. The record was last updated on Sep 28, 2018.