COOPER, PROVENCE & HALEY, PC


Address: 207 23rd Ave N, Nashville, TN 37203-1501
Phone: 6153201392

COOPER, PROVENCE & HALEY, PC (NPI# 1851412811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851412811
Entity Type Organization
Organization Name COOPER, PROVENCE & HALEY, PC
Practice Address 207 23rd Ave N
Nashville
TN 37203-1501
Mailing Address 502 E College St
Dickson
TN 37055-2016
Practice Telephone 6153201392
Practice Fax Number 6153294245
Mailing Telephone 6154469669
Mailing Fax Number 6154469661
Enumeration Date 2007-04-03
Last Update Date 2008-05-19
Authorized Official Name DR. SPENCER A HALEY (VICE PRESIDENT)
Authorized Official Telephone 6153201392
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DS3032 TN Dental Providers
N 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DS4607 TN Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
DS7219 TN Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN BCBST LINDSEY W. COOPER 2009819 01
TN LICENSE # LINDSEY W. COOP 3032 01
TN NPI LINDSEY W. COOPER, 1043218670 01
TN BCBST SPENCER A HALEY 3141185 01
TN LICENSE SPENCER HALEY 7219 01
TN NPI TIMOTHY D. PROVENCE 1982601829 01
TN BCBST TIMOTHY D PROVENCE 2006315 01
TN LICENSE TIMOTHY PROVENCE 4607 01
TN NPI - SPENCER A HALEY 1275531972 01

Office Location

Street Address 207 23RD AVE N
City NASHVILLE
State TN
Zip Code 37203-1501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275531972 Spencer A Haley Dentist 207 23rd Ave N, Nashville, TN 37203-1501 2005-07-07
1134553431 Solace Oral Surgery, P.C. Dentist 207 23rd Ave N, Nashville, TN 37203-1501 2013-08-23
1487853297 Jaime A Romero Jr. Dentist 207 23rd Ave N, Mhmc-oral and Maxillofacial Surgery, Nashville, TN 37203-1501 2007-07-12
1043218670 Lindsey W Cooper Dentist 207 23rd Ave N, Nashville, TN 37203-1501 2005-07-08
1982601829 Timothy D Provence Dentist 207 23rd Ave N, Nashville, TN 37203-1501 2005-07-07

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NPI Name Taxonomy Address Enumeration
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1427663152 Amber Nicole Fox Nurse Practitioner 2300 Patterson Street-endo Dept, Nashville, TN 37203 2020-09-10
1144839648 Tasha Yarris Nurse Practitioner 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 2020-07-30
1013536655 Colby Wollenman Student in an Organized Health Care Education/Training Program Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 2020-04-14
1477193738 Ames Center for Counseling LLC Social Worker 1900 Church Street #300, Nashville, TN 37203 2020-01-14
1750922498 Lisa Michelle Gregory Beck Nurse Practitioner 2221 Murphy Avenue, Nashville, TN 37203 2019-10-03
1235634023 Jackson Primary Care Family Medicine 2010 Church St Ste 526, Nashville, TN 37203 2018-03-26
1932614237 Caitlin Butcher Social Worker 402 22nd Ave North, Nashville, TN 37203 2017-12-08
1780194068 Casey Lynn O'quinn Behavioral Analyst 2108 Hayes St, Nashville, TN 37203 2017-10-02
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396199055 Daniel Coke Dentist 1301 Medical Center Dr # 1601, Nashville, TN 37232-0028 2016-04-19
1073910725 Nashville Oral Facial Surgery, Pllc Dentist 2400 Patterson St Ste 316, Nashville, TN 37203-6510 2014-11-24
1013200054 Ryan Fitzgerald Thomas Dentist 5802 Nolensville Pike Ste 103, Nashville, TN 37211-6540 2011-05-24
1497084057 Kendall M Sims Dentist 1829 Jo Johnston Ave, Nashville, TN 37203-2870 2009-12-10
1013100551 Matthew Mizukawa Dentist 1623 The Vanderbilt Clinic, Nashville, TN 37232-0001 2007-08-18
1770606014 Cooper Oral & Maxillofacial Surgery, PC Dentist 207 Twenty Third Avenue North, Nashville, TN 37203-1501 2007-04-10
1447317953 Robin Ricardo Daniel Dentist 1829 Jo Johnston Avenue, Nashville, TN 37203-2120 2007-01-03
1598830770 Christian Clarence Bennerman Dentist 2653 Lakevilla Dr, Nashville, TN 37217-3836 2006-11-22
1477635324 Oral & Facial Surgery Group PC Dentist 300 20th Ave N Ste 606, Nashville, TN 37203-5606 2006-10-19
1639263783 Harry Russell Mack Jr. Dentist 5802 Nolensville Pike, Suite #103, Nashville, TN 37211-6520 2006-10-03
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Competitor

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City NASHVILLE
Zip Code 37203

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Dataset Information

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.

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