DR. BRUCE E COOPER DDS
NPI 1104820901
Dentist - General Practice in Olympia, WA

Active since June 09, 2005
1105 4TH AVE E, STE A, OLYMPIA, WA 98506(360) 357-8075(360) 357-3842 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bruce E Cooper Dds NPPES

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

DR. BRUCE E COOPER DDS (NPI 1104820901) is an individual general practice provider in Olympia, Washington, licensed in Washington (DE00006116) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1104820901
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRUCE E COOPERCredential: DDS
Location Address1105 4TH AVE E, STE AOlympia, WA 98506-4018
Mailing Address1105 4th Ave E, Ste AOlympia, WA 98506-4018 · (360) 357-8075 · Fax (360) 357-3842
Fax(360) 357-3842
Sole ProprietorNo
Enumeration DateJune 9, 2005
Last NPPES UpdateJune 26, 2015
NPI 1104820901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · DE00006116
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.
1105 4TH AVE E, Olympia, WA 98506

Other Identifiers 1

Medicaid5005459WA

Other Providers at the Same Location NPPES 5

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

Dentist (General Practice)
1105 4TH AVE E, SUITE B
OLYMPIA, WA 98506
Dentist
1105 4TH AVE E, STE A
OLYMPIA, WA 98506
Dentist
1105 4TH AVE E, SUITE B
OLYMPIA, WA 98506
Dentist (General Practice)
1105 4TH AVE E, SUITE A
OLYMPIA, WA 98506
Dentist (General Practice)
1105 4TH AVE E, SUITE A
OLYMPIA, WA 98506

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 Bruce Cooper's NPI number?

The NPI number for Bruce Cooper is 1104820901. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Bruce Cooper located?

Bruce Cooper practices at 1105 4th Ave E Ste A, Olympia, WA 98506. The listed phone number is (360) 357-8075.

What is Bruce Cooper's specialty?

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

When was this NPI record last updated?

The NPPES record for Bruce Cooper was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.