COOPER CREEK DENTAL, LLC
NPI 1679978894
Dentist in University Park, FL

Q: What is Cooper Creek Dental, LLC's NPI number?

The NPI number for Cooper Creek Dental, LLC is 1679978894. It was assigned to this organization in the NPPES registry on October 30, 2014.

Q: What is Cooper Creek Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since October 30, 2014

8460 COOPER CREEK BLVD, SUITE 103, UNIVERSITY PARK, FL 34201(941) 366-1010(941) 355-5558 Get Directions Write a Review

NPPES record last updated: October 30, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cooper Creek Dental, Llc NPPES

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

COOPER CREEK DENTAL, LLC (NPI 1679978894) is a healthcare organization registered as a dentist in University Park, Florida and active in the NPI registry since October 2014. The organization lists Shelly Donegan Mcavoy, President, as its authorized official.

NPPES Registry Identity

NPI1679978894

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameCOOPER CREEK DENTAL, LLC

Location Address8460 COOPER CREEK BLVD, SUITE 103University Park, FL 34201-2019

Mailing Address8460 Cooper Creek Blvd, Suite 103University Park, FL 34201-2019 · (941) 366-1010 · Fax (941) 355-5558

Phone(941) 366-1010

Fax(941) 355-5558

Organization SubpartNo

Authorized OfficialShelly Donegan McavoyPresident · (941) 366-1010

Enumeration DateOctober 30, 2014

✔ NPI 1679978894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in FL · DN16321✔ Licensed in FL · DN16999

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

8460 COOPER CREEK BLVD, University Park, FL 34201

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MRS. JOARIS R PRICE ARNP, CPNP

Nurse Practitioner (Pediatrics)

8460 COOPER CREEK BLVD, SUITE 101
UNIVERSITY PARK, FL 34201

Manatee County (941) 360-1266

VICKI D SKIDMORE D.O.

Pediatrics

8460 COOPER CREEK BLVD, SUITE 101
UNIVERSITY PARK, FL 34201

Manatee County (941) 360-1266

MS. BRENDA SUSAN SAX RD

Dietitian, Registered

8460 COOPER CREEK BLVD, SUITE 101
UNIVERSITY PARK, FL 34201

Manatee County (941) 360-1266

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 Cooper Creek Dental, LLC's NPI number?

The NPI number for Cooper Creek Dental, LLC is 1679978894. It was assigned to this organization in the NPPES registry on October 30, 2014.

Where is Cooper Creek Dental, LLC located?

Cooper Creek Dental, LLC is located at 8460 Cooper Creek Blvd Suite 103, University Park, FL 34201. The listed phone number is (941) 366-1010.

What is Cooper Creek Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Cooper Creek Dental, LLC was last updated on October 30, 2014. 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.