Individual provider · Type 1 NPI

Mark Allen Cooper, DDS

Dentist · Clearlake, CA

NPI number 1912926411 Active

Practice location

3560 Old Highway 53
Clearlake, CA 95422-9251

Fax (707) 994-6328

Mailing address

15525 Rumsey Rd
Clearlake, CA 95422-9594

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X23996 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1912926411

Mark Allen Cooper, DDS's National Provider Identifier is 1912926411, issued on Jul 18, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Clearlake, CA. The record was last updated on Jul 8, 2007.