Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104820901 Individual Practitioner Male Practitioner

Dr. Bruce E Cooper , DDS

Dentist - General Practice • Olympia, WA

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Cooper, DDS is a registered healthcare professional specializing in Dentist - General Practice in Olympia, WA. Practice services are available at 1105 4TH AVE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1105 4th Ave E
Ste A

Olympia, WA 985064018

Telephone 3603578075
Fax 3603573842
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
64 Specialists

Practicing in Olympia, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00006116

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
5005459 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1619971413

Doctor of Dental Surgery

Dr. Joseph Moss , DDS

Dentist - General Practice

NPI 1912130055

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 26, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2015

Registered at 1105 4TH AVE E, STE A, OLYMPIA, WA 985064018 (Tel: 3603578075)

📍
Updated Business Mailing Address June 26, 2015

Registered at 1105 4TH AVE E, STE A, OLYMPIA, WA 985064018 (Tel: 3603578075)

👤
Provider Name / Credentials Updated June 26, 2015

Recorded as BRUCE COOPER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2015

Dentist (License #DE00006116 in WA)

🟢
Initial NPI Registration & Enumeration June 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104820901
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2005
Last Update: June 26, 2015
Sole Proprietor: No

Mailing Address

1105 4th Ave E, Ste A

Olympia, WA 985064018

Phone: 3603578075

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.