DR. ROGER WILLSON COOPER (NPI# 1114078136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114078136 |
| Entity Type | Individual |
| Full Name | DR. ROGER WILLSON COOPER |
| Credential | D.D.S.,M.A. |
| Practice Address |
1625 W Ina Rd Suite # 103 Tucson AZ 85704-1900 |
| Practice Telephone | 5205318605 |
| Practice Fax Number | 5205750618 |
| Mailing Telephone | 5205318605 |
| Mailing Fax Number | 5205750618 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D6003 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306807938 | Roger Cooper | Specialist | 268 Martin Luther King Jr Blvd, St Michael Infectious Disease, Newark, NJ 07102-2011 | 2006-03-31 |
| Street Address |
1625 W INA RD SUITE # 103 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85704-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972525517 | Elaine Janet Shapiro | Podiatrist | 1625 W Ina Rd, Ste 117, Tucson, AZ 85704-1975 | 2006-07-24 |
| 1669984837 | Michael Scott Carnes | Massage Therapist | 1625 W Ina Rd, Tucson, AZ 85704-1900 | 2017-10-28 |
| 1063962819 | Southern Arizona Center for Pelvic Health | Nurse Practitioner | 1625 W Ina Rd, Suite 117, Tucson, AZ 85704-1900 | 2016-10-05 |
| 1588064844 | West Mountain Healthcare Pllc | Clinic/Center | 1625 W Ina Rd, Ste 117, Tucson, AZ 85704-1900 | 2014-08-23 |
| 1306165485 | Romina Lo-montano | Nurse Practitioner | 1625 W Ina Rd, Ste 117, Tucson, AZ 85704-1900 | 2010-05-27 |
| 1578735858 | Elaine J. Shapiro,d.p.m.,p.c. | Podiatrist | 1625 W Ina Rd, Ste 117, Tucson, AZ 85704-1975 | 2008-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176616 | Kimberly Nehls Remblake | Pharmacist | 6488 N Oracle Road, Tuson, AZ 85704 | 2020-08-28 |
| 1114562311 | Sarah Laing | Music Therapist | 314 E Cambridge Drive, Tucson, AZ 85704 | 2019-11-12 |
| 1750876587 | Stephanie Ann Schmid | Nurse Practitioner | 1631 W Ina Rd, Tucson, AZ 85704 | 2018-06-25 |
| 1619468063 | Barnet Dulaney Perkins Eye Center II Pllc | Durable Medical Equipment & Medical Supplies | 10195 N Oracle Rd Ste 125, Oro Valley, AZ 85704 | 2018-05-22 |
| 1639682073 | Tucson Family and Geriatric Medicine LLC | Clinic/Center | 6867 N Oracle Rd Ste 157, Tucson, AZ 85704 | 2017-11-07 |
| 1215448790 | Janelle K Borg | Physical Therapist | 7530 N Oracle Rd Ste 100, Tucson, AZ 85704 | 2017-10-23 |
| 1982122396 | Wellbeing Institute | Pathology | 6879 N. Oracle Road, Suite 125, Tucson, AZ 85704 | 2017-09-06 |
| 1245777481 | Sonora Behavioral Health Hospital, LLC | Clinic/Center | 2001 West Orange Grove Road, Suite 114, 112, 102, Tucson, AZ 85704 | 2017-01-26 |
| 1902252752 | Conrad Drinkwater | Dentist | 9000 N Oracle Rd Ste B, Oro Valley, AZ 85704 | 2016-05-11 |
| 1912375668 | Adrianna Rodriguez | Pharmacist | 4701 N. Stone Ave, Tucson, AZ 85704 | 2015-09-11 |
| Find all providers in zip 85704 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235486507 | Clark Mackelprang | Dentist | 2330 N Rosemont Blvd Unit A, Tucson, AZ 85712-2159 | 2012-08-06 |
| 1962570630 | Brien V. Harvey, Dds, Ms | Dentist | 899 N Wilmot Rd Ste E2, Tucson, AZ 85711-1713 | 2006-12-01 |
| 1417055294 | Southern Arizona Periodontics Plc | Dentist | 5225 E Knight Dr, Ste #401, Tucson, AZ 85712 | 2006-09-20 |
| 1336184415 | Andrew E. Deeb | Dentist | 4008 E Pima St, Tucson, AZ 85712-3317 | 2006-06-20 |
| 1790720886 | George Eli Deeb | Dentist | 5533 E Helen St, Tucson, AZ 85712-4943 | 2006-06-20 |
| 1578550182 | Krystal J. Miles | Dentist | 7225 N Oracle Rd, Ste 201, Tucson, AZ 85704-6322 | 2005-09-29 |
| 1780679878 | Edward Daniel Gall IIi | Dentist | 2330 N Rosemont Blvd, Suite A, Tucson, AZ 85712-2163 | 2005-09-14 |
| 1497755102 | Graig D Brown | Dentist | 3148 N Swan Rd, Tucson, AZ 85712-1227 | 2005-07-22 |
| 1225455637 | Lisa A. Lear, Dds, Msd, PC | Dentist | 6367 E Tanque Verde Rd, Suite 210, Tucson, AZ 85715-3829 | 2014-03-24 |
| 1366726234 | Jared D Roberts | Dentist | 1751 W Orange Grove Rd, Suite 101, Tucson, AZ 85704-1192 | 2011-10-10 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.