Individual provider · Type 1 NPI

Marissa Nicole Cooper, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Pembroke Pines, FL

NPI number 1912283136 Active

Practice location

140 S University Dr
Pembroke Pines, FL 33025-2234

Call (954) 431-0004 Map

Mailing address

700 SW 78th Ave, Apt. 917
Plantation, FL 33324-3298

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	DN18639 (FL)

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 1912283136

Marissa Nicole Cooper, DMD's National Provider Identifier is 1912283136, issued on Nov 2, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Pembroke Pines, FL. The record was last updated on Nov 2, 2011.