Dr. Lyndon Cooper
Prosthodontist Dentist - General Practice
801 S Paulina St # 402e
Chicago
, Illinois 60612-7210
Dr. Lyndon Cooper
Prosthodontist Dentist - General Practice
801 S Paulina St # 402e
Chicago
, Illinois 60612-7210
(919) 649-7531
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About
Features
Specialties
- General Practice
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Lyndon Cooper
- 415 E North Water St Apt 607
- Chicago, IL
- Zip : 60611-5613
- Phone : (919) 649-7531
Second Address
- Dr. Lyndon Cooper
- 801 S Paulina St # 402e
- Chicago, IL
- Zip : 60612-7210
- Phone : (312) 996-7515
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223G0001X | General Practice | 019.030537 | IL |
| N | 213EG0000X | General Practice | 019.030537 | IL |
| N | 1223P0700X | Prosthodontist | 0007 | NC |
| Y | 1223P0700X | Prosthodontist | 021.002815 | IL |
| N | 1223P0700X | Prosthodontist | 38430-1 | NY |
National Provider Identifier
| NPI | 1043335276 |
|---|---|
| Provider Name | Dr. Lyndon Cooper |
| First Address | Chicago, IL 60611-5613 |
| Second Address | Chicago, IL 60612-7210 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/03/2007 |
| Last Update Date | 14/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.