Dr. Peter Collins Cooper , DDS
Dentist - General Practice • Waterford, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Peter Cooper has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Peter Cooper, DDS was a registered Dentist - General Practice practicing in Waterford, MI. Throughout an active medical career spanning 16 years, Dr. Cooper provided care at the practice location at 3821 ELIZABETH LAKE RD until profile deactivation on 2022-01-30.
Practice Location & Contact Primary Location
3821 Elizabeth Lake Rd
Waterford, MI 483283017
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Waterford, MI
Practicing in Waterford, MI (4360 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 30, 2022
NPI status registered as active in NPPES database
Registered at 3821 ELIZABETH LAKE RD, WATERFORD, MI 483283017 (Tel: 2486817778)
Registered at 3821 ELIZABETH LAKE RD, WATERFORD, MI 483283017 (Tel: 2486817778)
Recorded as PETER COOPER, D.D.S.
Dentist (License #2901014559 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3821 Elizabeth Lake Rd
Waterford, MI 483283017
Phone: 2486817778
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