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Contact Information

MICHAEL D COOPER, DDS
312 WEST FIRST STREET
TUSTIN, CA92780
 Phone: 714-544-5100
 Fax: 714-544-8022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MICHAEL D COOPER · (Male)

NPI # 1053327320
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/31/2006
Last updated 01/25/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 34946
  • CA License # 34996
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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