Edward Jerrold Cooper , LD
Denturist • Portland, OR
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, Edward Cooper has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Edward Cooper, LD was a registered Denturist practicing in Portland, OR. Throughout an active medical career spanning 14 years, Edward Cooper provided care at the practice location at 4645 SOUTH EAST 85TH AVE. until profile deactivation on 2022-03-29.
Practice Location & Contact Primary Location
4645 South East 85th Ave.
Portland, OR 97266
Specialty Benchmarks & Practice Insights
Comparative analytics for Denturist in Portland, OR
Practicing in Portland, OR (139 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 122400000X
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 29, 2022
NPI status registered as active in NPPES database
Registered at 4645 SOUTH EAST 85TH AVE., PORTLAND, OR 97266 (Tel: 5037753797)
Registered at 4645 SOUTH EAST 85TH AVE., PORTLAND, OR 97266 (Tel: 5037753797)
Recorded as EDWARD COOPER, L.D
Denturist (License #DT-DO-916801 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4645 South East 85th Ave.
Portland, OR 97266
Phone: 5037753797
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