COPPER BASIN ORAL SURGERY
NPI 1255175519
Dentist - Oral and Maxillofacial Surgery in Gilbert, AZ

Active since June 21, 2024
2680 S VAL VISTA DR STE 164, GILBERT, AZ 85295(480) 855-3223 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Copper Basin Oral Surgery NPPES

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

COPPER BASIN ORAL SURGERY (NPI 1255175519) is a healthcare organization registered as an oral and maxillofacial surgery in Gilbert, Arizona and active in the NPI registry since June 2024. The organization lists Kenneth Cochell, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1255175519
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCOPPER BASIN ORAL SURGERY
Location Address2680 S VAL VISTA DR STE 164Gilbert, AZ 85295-1638
Mailing Address2680 S Val Vista Dr Ste 164Gilbert, AZ 85295-1638 · (480) 855-3223
Organization SubpartNo
Authorized OfficialKenneth CochellInsurance Coordinator · (480) 924-2369
Enumeration DateJune 21, 2024
NPPES CertifiedJune 21, 2024
✔ NPI 1255175519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2680 S VAL VISTA DR STE 164, Gilbert, AZ 85295

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Dentist (Oral and Maxillofacial Pathology)
2680 S VAL VISTA DR STE 164
GILBERT, AZ 85295

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 Copper Basin Oral Surgery's NPI number?

The NPI number for Copper Basin Oral Surgery is 1255175519. It was assigned to this organization in the NPPES registry on June 21, 2024.

Where is Copper Basin Oral Surgery located?

Copper Basin Oral Surgery is located at 2680 S Val Vista Dr Ste 164, Gilbert, AZ 85295. The listed phone number is (480) 855-3223.

What is Copper Basin Oral Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Copper Basin Oral Surgery was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.