| Todd Cooper, Dds, Tyson Teeples, Dmd, Md, Ryan Toponce, Dmd, Ps. | |
|
512 N Young St Kennewick WA 99336-7806 | |
| (509) 783-7600 | |
| (509) 783-0774 |
| Full Name | Todd Cooper, Dds, Tyson Teeples, Dmd, Md, Ryan Toponce, Dmd, Ps. |
|---|---|
| Speciality | Dentist |
| Location | 512 N Young St, Kennewick, Washington |
| Authorized Official Name and Position | Todd C Cooper (PARTNER) |
| Authorized Official Contact | 5097837600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Cooper, Dds, Tyson Teeples, Dmd, Md, Ryan Toponce, Dmd, Ps. 512 N Young St Kennewick WA 99336-7806 Ph: (509) 783-7600 | Todd Cooper, Dds, Tyson Teeples, Dmd, Md, Ryan Toponce, Dmd, Ps. 512 N Young St Kennewick WA 99336-7806 Ph: (509) 783-7600 |
| NPI Number | 1487728614 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 06/21/2017 |
| Medicare PECOS PAC ID | 9739076431 |
|---|---|
| Medicare Enrollment ID | O20040227000915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487728614 | NPI | - | NPPES |
| 5042361 | Medicaid | WA | |
| 5017660 | Medicaid | WA | |
| 5017652 | Medicaid | WA | |
| 5014337 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6293 (Washington) | Primary |
| Provider Name | Ronald J Marsh |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1134147309 PECOS PAC ID: 0244229821 Enrollment ID: I20060119000767 |
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