DR. MULLEN O COOVER D.D.S.
NPI 1053303966
Dentist - General Practice in Charleston, SC

Active since August 17, 2005PECOS Enrolled
173 ASHLEY AVE, BSB-335, CHARLESTON, SC 29425(843) 792-3765(843) 792-2847 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mullen O Coover D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MULLEN O COOVER D.D.S. (NPI 1053303966) is an individual general practice provider in Charleston, South Carolina, licensed in South Carolina (3655) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053303966
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MULLEN O COOVERCredential: D.D.S.
Location Address173 ASHLEY AVE, BSB-335Charleston, SC 29425-8908
Mailing Address173 Ashley Ave, Bsb-335Charleston, SC 29425-8908 · (843) 792-3765 · Fax (843) 792-2847
Fax(843) 792-2847
Sole ProprietorNo
Enumeration DateAugust 17, 2005
Last NPPES UpdateJuly 1, 2008
NPI 1053303966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in SC · 3655 Licensed in WV · 2435
Definition
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.
173 ASHLEY AVE, Charleston, SC 29425

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mullen O Coover D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
173 ASHLEY AVE
CHARLESTON, SC 29425
Dentist (General Practice)
173 ASHLEY AVE
CHARLESTON, SC 29425
Dentist (Pediatric Dentistry)
173 ASHLEY AVE
CHARLESTON, SC 29425
Dentist
173 ASHLEY AVE
CHARLESTON, SC 29425
Dentist (Prosthodontics)
173 ASHLEY AVE, BSB 547
CHARLESTON, SC 29425
Dentist (Endodontics)
173 ASHLEY AVE, BSB 546, MSC 507
CHARLESTON, SC 29425
Dentist (Periodontics)
173 ASHLEY AVE, DENTAL FACULTY PRACTICE, BSB ROOM 346
CHARLESTON, SC 29425
Dentist
173 ASHLEY AVE
CHARLESTON, SC 29425

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mullen Coover's NPI number?

The NPI number for Mullen Coover is 1053303966. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Mullen Coover located?

Mullen Coover practices at 173 Ashley Ave Bsb-335, Charleston, SC 29425. The listed phone number is (843) 792-3765.

What is Mullen Coover's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mullen Coover enrolled in Medicare?

Yes. Mullen Coover is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mullen Coover was last updated on July 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.