BRENDA COPELAND DDS PA NPI 1710127378

NPI Information

NPI: 1710127378
Provider Name: BRENDA COPELAND DDS PA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
723 N 4TH ST
LONGVIEW, TX
ZIP 75601
Phone: (903) 753-7515
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BRENDA COPELAND DDS PA is a dental clinic center in Longview, TX. BRENDA COPELAND DDS PA NPI is 1710127378. The provider is registered as an organization entity type.

The provider's business location address is:

723 N 4TH ST
LONGVIEW, TX
ZIP 75601-412
Phone: (903) 753-7515
Fax: (903) 753-0003

The provider's authorized official is Brenda Kay Copeland .
The authorized official title is Dentist and has the following contact phone number (903) 753-7515.

The enumeration date for this NPI number is 2/23/2009 and was last updated on 2/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	16043	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	TEXAS	DENTIST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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