J Selig Cooper Dds Pa

LBN: J Selig Cooper Dds Pa
J Selig Cooper Dds Pa is an health care organization with primary practice located at 1515 Yanceyville St , Greensboro NC 27405-6958. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. J Selig Cooper Dds Pa can be contacted via phone (336) 510-5813, or through Cooper, Javon Selig via phone (336) 510-5813.

Contact Information

Primary practice address
1515 Yanceyville St Greensboro NC 27405-6958
Phone: (336) 510-5813
Fax: (336) 510-5812
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Javon Selig Doctor of Dental Surgery (DDS)
Phone: (336) 510-5813

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6552 North Carolina

Profile Details

NPI number 1710056635
LBN Legal business name J Selig Cooper Dds Pa
DBA Doing business as
Authorized official Cooper, Javon Selig Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated May 15th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710056635 NPPES
North Carolina Other 9002F BCBSNC PROVIDER #
North Carolina MEDICAID 799002F BCBSNC PROVIDER #

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